[{"rxnorm_id":"1000001","drug_name":"Olmesartan-Amlodipine-HCTZ 40-5-25 MG TAB [Olmesartan-Amlodipine-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000048","drug_name":"Doxepin HCl 10 MG CAP [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000054","drug_name":"Doxepin HCl 10 MG/ML CONC [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000058","drug_name":"Doxepin HCl 100 MG CAP [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000064","drug_name":"Doxepin HCl 150 MG CAP [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000070","drug_name":"Doxepin HCl 25 MG CAP [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000076","drug_name":"Doxepin HCl 50 MG CAP [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000097","drug_name":"Doxepin HCl 75 MG CAP [Doxepin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000114","drug_name":"medroxyPROGESTERone Acetate 10 MG TAB [medroxyPROGESTERone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000126","drug_name":"medroxyPROGESTERone Acetate 150 MG/ML SUSPENSION [medroxyPROGESTERone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000135","drug_name":"medroxyPROGESTERone Acetate 2.5 MG TAB [medroxyPROGESTERone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000141","drug_name":"medroxyPROGESTERone Acetate 5 MG TAB [medroxyPROGESTERone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000153","drug_name":"medroxyPROGESTERone Acetate 150 MG/ML SUSP PRSYR [medroxyPROGESTERone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000158","drug_name":"Depo-SubQ Provera 104 104 MG/0.65ML SUSP PRSYR [Depo-SubQ Provera 104]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000405","drug_name":"Norethindrone Acetate 5 MG TAB [Norethindrone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000647","drug_name":"Pilocarpine HCl 1 % SOLUTION [Pilocarpine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000862","drug_name":"Pilocarpine HCl 2 % SOLUTION [Pilocarpine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000897","drug_name":"Pilocarpine HCl 4 % SOLUTION [Pilocarpine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1000913","drug_name":"Pilocarpine HCl 5 MG TAB [Pilocarpine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1001004","drug_name":"Pilocarpine HCl 7.5 MG TAB [Pilocarpine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1001689","drug_name":"Na Sulfate-K Sulfate-Mg Sulf 17.5-3.13-1.6 GM/177ML SOLUTION [Na Sulfate-K Sulfate-Mg Sulf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1002300","drug_name":"Tasigna 150 MG CAP [Tasigna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1005928","drug_name":"Ella 30 MG TAB [Ella]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1006065","drug_name":"Altavera 0.15-30 MG-MCG TAB [Altavera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1006120","drug_name":"Sulfacetamide Sodium 10 % SOLUTION [Sulfacetamide Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1006608","drug_name":"Dexmethylphenidate HCl ER 40 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1006688","drug_name":"Sulfacetamide Sodium (Acne) 10 % LOTION [Sulfacetamide Sodium (Acne)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1006801","drug_name":"cloZAPine 150 MG TAB DISP [cloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1009145","drug_name":"Amphetamine-Dextroamphetamine 7.5 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1010600","drug_name":"Buprenorphine HCl-Naloxone HCl 2-0.5 MG FILM [Buprenorphine HCl-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1010604","drug_name":"Buprenorphine HCl-Naloxone HCl 8-2 MG FILM [Buprenorphine HCl-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1010696","drug_name":"Carbinoxamine Maleate 4 MG/5ML SOLUTION [Carbinoxamine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1010739","drug_name":"Lidocaine Viscous HCl 2 % SOLUTION [Lidocaine Viscous HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1010878","drug_name":"Lidocaine HCl 4 % SOLUTION [Lidocaine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1012021","drug_name":"Sulfacetamide-Prednisolone 10-0.23 % SOLUTION [Sulfacetamide-Prednisolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1012895","drug_name":"Fingolimod HCl 0.5 MG CAP [Fingolimod HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1012899","drug_name":"Gilenya 0.5 MG CAP [Gilenya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1012904","drug_name":"Carbinoxamine Maleate 4 MG TAB [Carbinoxamine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1013629","drug_name":"Drospiren-Eth Estrad-Levomefol 3-0.02-0.451 MG TAB [Drospiren-Eth Estrad-Levomefol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1013930","drug_name":"cloNIDine HCl ER 0.1 MG TAB ER 12H [cloNIDine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1014314","drug_name":"Triamcinolone Acetonide 0.1 % CREAM [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1020155","drug_name":"Introvale 0.15-0.03 MG TAB [Introvale]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"103401","drug_name":"Hydrocortisone 2.5 % OINTMENT [Hydrocortisone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"103456","drug_name":"Fluocinonide 0.05 % CREAM [Fluocinonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"103457","drug_name":"Fluocinonide 0.05 % OINTMENT [Fluocinonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1037045","drug_name":"Dabigatran Etexilate Mesylate 150 MG CAP [Dabigatran Etexilate Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1037179","drug_name":"Dabigatran Etexilate Mesylate 75 MG CAP [Dabigatran Etexilate Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1040031","drug_name":"Lurasidone HCl 40 MG TAB [Lurasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1040041","drug_name":"Lurasidone HCl 80 MG TAB [Lurasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1041518","drug_name":"Azelaic Acid 15 % GEL [Azelaic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1045402","drug_name":"Dasatinib 140 MG TAB [Dasatinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1045404","drug_name":"Sprycel 140 MG TAB [Sprycel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1045406","drug_name":"Dasatinib 80 MG TAB [Dasatinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1045408","drug_name":"Sprycel 80 MG TAB [Sprycel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1046920","drug_name":"Nicotrol 10 MG INHALER [Nicotrol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1048445","drug_name":"Colestipol HCl 1 GM TAB [Colestipol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1048450","drug_name":"Colestipol HCl 5 GM GRANULES [Colestipol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"104884","drug_name":"Metoclopramide HCl 10 MG/10ML SOLUTION [Metoclopramide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"104894","drug_name":"Ondansetron 4 MG TAB DISP [Ondansetron]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1049214","drug_name":"oxyCODONE-Acetaminophen 10-325 MG TAB [oxyCODONE-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049216","drug_name":"Endocet 10-325 MG TAB [Endocet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049221","drug_name":"oxyCODONE-Acetaminophen 5-325 MG TAB [oxyCODONE-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049223","drug_name":"Endocet 5-325 MG TAB [Endocet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049225","drug_name":"oxyCODONE-Acetaminophen 7.5-325 MG TAB [oxyCODONE-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049227","drug_name":"Endocet 7.5-325 MG TAB [Endocet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049604","drug_name":"oxyCODONE HCl 5 MG/5ML SOLUTION [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049611","drug_name":"oxyCODONE HCl 15 MG TAB [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049615","drug_name":"oxyCODONE HCl 100 MG/5ML CONC [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049618","drug_name":"oxyCODONE HCl 30 MG TAB [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049621","drug_name":"oxyCODONE HCl 5 MG TAB [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049635","drug_name":"oxyCODONE-Acetaminophen 2.5-325 MG TAB [oxyCODONE-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049683","drug_name":"oxyCODONE HCl 10 MG TAB [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1049686","drug_name":"oxyCODONE HCl 20 MG TAB [oxyCODONE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1050493","drug_name":"Drospiren-Eth Estrad-Levomefol 3-0.03-0.451 MG TAB [Drospiren-Eth Estrad-Levomefol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105171","drug_name":"Cefadroxil 500 MG/5ML RECON SUSP [Cefadroxil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1052658","drug_name":"Etravirine 200 MG TAB [Etravirine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105292","drug_name":"Isoniazid 50 MG/5ML SYRUP [Isoniazid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1053697","drug_name":"Nystatin-Triamcinolone 100000-0.1 UNIT/GM-% OINTMENT [Nystatin-Triamcinolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1053753","drug_name":"Nystatin-Triamcinolone 100000-0.1 UNIT/GM-% CREAM [Nystatin-Triamcinolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105398","drug_name":"Solu-CORTEF 100 MG RECON SOLN [Solu-CORTEF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105551","drug_name":"Myleran 2 MG TAB [Myleran]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105553","drug_name":"Leukeran 2 MG TAB [Leukeran]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105583","drug_name":"Fluorouracil 5 % CREAM [Fluorouracil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105585","drug_name":"Methotrexate Sodium 2.5 MG TAB [Methotrexate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105590","drug_name":"Tabloid 40 MG TAB [Tabloid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"105641","drug_name":"Zoladex 3.6 MG IMPLANT [Zoladex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106302","drug_name":"Tretinoin 0.025 % CREAM [Tretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106303","drug_name":"Tretinoin 0.05 % CREAM [Tretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106336","drug_name":"Ketoconazole 2 % SHAMPOO [Ketoconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106346","drug_name":"Mupirocin 2 % OINTMENT [Mupirocin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106351","drug_name":"Silver Sulfadiazine 1 % CREAM [Silver Sulfadiazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106366","drug_name":"Sulconazole Nitrate 1 % CREAM [Sulconazole Nitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106387","drug_name":"Permethrin 5 % CREAM [Permethrin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"106892","drug_name":"HumuLIN 70/30 (70-30) 100 UNIT/ML SUSPENSION [HumuLIN 70/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"108513","drug_name":"Prograf 1 MG CAP [Prograf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"108514","drug_name":"Prograf 5 MG CAP [Prograf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085633","drug_name":"Triamcinolone Acetonide 0.025 % OINTMENT [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085636","drug_name":"Triamcinolone Acetonide 0.1 % OINTMENT [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085640","drug_name":"Triamcinolone Acetonide 0.5 % OINTMENT [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085644","drug_name":"Triamcinolone Acetonide 0.025 % CREAM [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085686","drug_name":"Triamcinolone Acetonide 0.5 % CREAM [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085728","drug_name":"Triamcinolone Acetonide 0.1 % PASTE [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085741","drug_name":"Triamcinolone Acetonide 0.025 % LOTION [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085745","drug_name":"Triamcinolone Acetonide 0.1 % LOTION [Triamcinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085767","drug_name":"Oralone 0.1 % PASTE [Oralone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085816","drug_name":"Spinosad 0.9 % SUSPENSION [Spinosad]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1085820","drug_name":"Natroba 0.9 % SUSPENSION [Natroba]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1086772","drug_name":"Vilazodone HCl 10 MG TAB [Vilazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1086776","drug_name":"Viibryd 10 MG TAB [Viibryd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1086778","drug_name":"Vilazodone HCl 20 MG TAB [Vilazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1086780","drug_name":"Viibryd 20 MG TAB [Viibryd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1086784","drug_name":"Vilazodone HCl 40 MG TAB [Vilazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1086786","drug_name":"Viibryd 40 MG TAB [Viibryd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1087459","drug_name":"Hydrocod Poli-Chlorphe Poli ER 10-8 MG/5ML SUSP [Hydrocod Poli-Chlorphe Poli ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1090558","drug_name":"Octreotide Acetate 100 MCG/ML SOLN PRSYR [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1090559","drug_name":"Octreotide Acetate 50 MCG/ML SOLN PRSYR [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1090560","drug_name":"Octreotide Acetate 500 MCG/ML SOLN PRSYR [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1090992","drug_name":"Norethindrone-Eth Estradiol 1-5 MG-MCG TAB [Norethindrone-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1090996","drug_name":"Jinteli 1-5 MG-MCG TAB [Jinteli]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1091133","drug_name":"Methylphenidate HCl 10 MG/5ML SOLUTION [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091145","drug_name":"Methylphenidate HCl ER 10 MG TAB ER [Methylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091150","drug_name":"Methylphenidate HCl 10 MG TAB [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091152","drug_name":"Methylphenidate HCl 10 MG CHEW TAB [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091155","drug_name":"Methylphenidate HCl ER 18 MG TAB ER [Methylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091170","drug_name":"Methylphenidate HCl ER 27 MG TAB ER [Methylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091185","drug_name":"Methylphenidate HCl ER 36 MG TAB ER [Methylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091210","drug_name":"Methylphenidate HCl ER 54 MG TAB ER [Methylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091225","drug_name":"Methylphenidate HCl ER 20 MG TAB ER [Methylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091322","drug_name":"Methylphenidate HCl 5 MG CHEW TAB [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091339","drug_name":"Clindacin ETZ 1 % SWAB [Clindacin ETZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1091341","drug_name":"Methylphenidate HCl 5 MG/5ML SOLUTION [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091389","drug_name":"Methylphenidate HCl 2.5 MG CHEW TAB [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091392","drug_name":"Methylphenidate HCl 20 MG TAB [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091497","drug_name":"Methylphenidate HCl 5 MG TAB [Methylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1091839","drug_name":"Roflumilast 500 MCG TAB [Roflumilast]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1092357","drug_name":"Rufinamide 40 MG/ML SUSPENSION [Rufinamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1095224","drug_name":"Norethin-Eth Estradiol-Fe 0.4-35 MG-MCG CHEW TAB [Norethin-Eth Estradiol-Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1095227","drug_name":"Levonest 50-30/75-40/ 125-30 MCG TAB [Levonest]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1095229","drug_name":"FlavoxATE HCl 100 MG TAB [FlavoxATE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1095712","drug_name":"Nevirapine ER 400 MG TAB ER 24H [Nevirapine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098134","drug_name":"Niacin ER (Antihyperlipidemic) 1000 MG TAB ER [Niacin ER (Antihyperlipidemic)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098141","drug_name":"Niacin ER (Antihyperlipidemic) 500 MG TAB ER [Niacin ER (Antihyperlipidemic)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098143","drug_name":"Niacin ER (Antihyperlipidemic) 750 MG TAB ER [Niacin ER (Antihyperlipidemic)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098608","drug_name":"lamoTRIgine ER 300 MG TAB ER 24H [lamoTRIgine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098649","drug_name":"Nefazodone HCl 100 MG TAB [Nefazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098666","drug_name":"Nefazodone HCl 150 MG TAB [Nefazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098670","drug_name":"Nefazodone HCl 200 MG TAB [Nefazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098674","drug_name":"Nefazodone HCl 250 MG TAB [Nefazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1098678","drug_name":"Nefazodone HCl 50 MG TAB [Nefazodone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099026","drug_name":"Loryna 3-0.02 MG TAB [Loryna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099269","drug_name":"Syeda 3-0.03 MG TAB [Syeda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099288","drug_name":"Desipramine HCl 10 MG TAB [Desipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099292","drug_name":"Desipramine HCl 100 MG TAB [Desipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099296","drug_name":"Desipramine HCl 150 MG TAB [Desipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099300","drug_name":"Desipramine HCl 25 MG TAB [Desipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099304","drug_name":"Desipramine HCl 50 MG TAB [Desipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099316","drug_name":"Desipramine HCl 75 MG TAB [Desipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099503","drug_name":"Lotemax 0.5 % OINTMENT [Lotemax]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099563","drug_name":"Divalproex Sodium ER 250 MG TAB ER 24H [Divalproex Sodium ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099569","drug_name":"Divalproex Sodium ER 500 MG TAB ER 24H [Divalproex Sodium ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099596","drug_name":"Divalproex Sodium 125 MG CAP DR [Divalproex Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099625","drug_name":"Divalproex Sodium 125 MG TAB DR [Divalproex Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099678","drug_name":"Divalproex Sodium 250 MG TAB DR [Divalproex Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099681","drug_name":"Valproic Acid 250 MG CAP [Valproic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099687","drug_name":"Valproic Acid 250 MG/5ML SOLUTION [Valproic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1099870","drug_name":"Divalproex Sodium 500 MG TAB DR [Divalproex Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1100057","drug_name":"Ciclodan 8 % SOLUTION [Ciclodan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1100075","drug_name":"Abiraterone Acetate 250 MG TAB [Abiraterone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1100184","drug_name":"Donepezil HCl 23 MG TAB [Donepezil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1101926","drug_name":"Dexmethylphenidate HCl ER 25 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1101932","drug_name":"Dexmethylphenidate HCl ER 35 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1102277","drug_name":"Edurant 25 MG TAB [Edurant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1111011","drug_name":"Nexplanon 68 MG IMPLANT [Nexplanon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1111018","drug_name":"Sapropterin Dihydrochloride 100 MG PACKET [Sapropterin Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1111020","drug_name":"Kuvan 100 MG PACKET [Kuvan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1111110","drug_name":"Dificid 200 MG TAB [Dificid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1111641","drug_name":"Glatiramer Acetate 20 MG/ML SOLN PRSYR [Glatiramer Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1112715","drug_name":"Amethyst 90-20 MCG TAB [Amethyst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1113046","drug_name":"Creon 3000-9500 UNIT CP DR PART [Creon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1114074","drug_name":"Caprelsa 100 MG TAB [Caprelsa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1114096","drug_name":"Caprelsa 300 MG TAB [Caprelsa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1114202","drug_name":"Xarelto 10 MG TAB [Xarelto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1114466","drug_name":"Nitroglycerin 0.4 % OINTMENT [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1114470","drug_name":"Rectiv 0.4 % OINTMENT [Rectiv]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115259","drug_name":"Lupron Depot (6-Month) 45 MG KIT [Lupron Depot (6-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115449","drug_name":"Lupron Depot-Ped (1-Month) 11.25 MG KIT [Lupron Depot-Ped (1-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115456","drug_name":"Lupron Depot-Ped (1-Month) 15 MG KIT [Lupron Depot-Ped (1-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115459","drug_name":"Lupron Depot (1-Month) 3.75 MG KIT [Lupron Depot (1-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115464","drug_name":"Lupron Depot (1-Month) 7.5 MG KIT [Lupron Depot (1-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115468","drug_name":"Lupron Depot (3-Month) 22.5 MG KIT [Lupron Depot (3-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115473","drug_name":"Lupron Depot (3-Month) 11.25 MG KIT [Lupron Depot (3-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1115698","drug_name":"Oseltamivir Phosphate 6 MG/ML RECON SUSP [Oseltamivir Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1116150","drug_name":"Bacitra-Neomycin-Polymyxin-HC 1 % OINTMENT [Bacitra-Neomycin-Polymyxin-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1116154","drug_name":"Neo-Polycin HC 1 % OINTMENT [Neo-Polycin HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1116639","drug_name":"Brilinta 90 MG TAB [Brilinta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1116758","drug_name":"Chloroquine Phosphate 500 MG TAB [Chloroquine Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1117090","drug_name":"Neo-Polycin 3.5-400-10000  OINTMENT [Neo-Polycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1117531","drug_name":"Chloroquine Phosphate 250 MG TAB [Chloroquine Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1119312","drug_name":"Hydroxychloroquine Sulfate 400 MG TAB [Hydroxychloroquine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1119400","drug_name":"Everolimus 7.5 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1145932","drug_name":"Orencia 125 MG/ML SOLN PRSYR [Orencia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1146690","drug_name":"lamoTRIgine ER 250 MG TAB ER 24H [lamoTRIgine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1147228","drug_name":"Zelboraf 240 MG TAB [Zelboraf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1147337","drug_name":"Complera 200-25-300 MG TAB [Complera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1148141","drug_name":"Icatibant Acetate 30 MG/3ML SOLN PRSYR [Icatibant Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1148502","drug_name":"Xalkori 200 MG CAP [Xalkori]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1148506","drug_name":"Xalkori 250 MG CAP [Xalkori]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1149632","drug_name":"Estradiol 0.075 MG/24HR PATCH TW [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1149667","drug_name":"Camrese 0.15-0.03 &0.01 MG TAB [Camrese]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1150836","drug_name":"Levobunolol HCl 0.5 % SOLUTION [Levobunolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1190225","drug_name":"Combivent Respimat 20-100 MCG/ACT AERO SOLN [Combivent Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1190568","drug_name":"Diphenoxylate-Atropine 2.5-0.025 MG/5ML LIQUID [Diphenoxylate-Atropine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1190572","drug_name":"Diphenoxylate-Atropine 2.5-0.025 MG TAB [Diphenoxylate-Atropine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191222","drug_name":"Naloxone HCl 0.4 MG/ML SOLUTION [Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191234","drug_name":"Naloxone HCl 0.4 MG/ML SOLN CART [Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191250","drug_name":"Naloxone HCl 2 MG/2ML SOLN PRSYR [Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191256","drug_name":"Fluocinolone Acetonide 0.025 % OINTMENT [Fluocinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191299","drug_name":"Fluocinolone Acetonide 0.01 % OIL [Fluocinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191302","drug_name":"Fluocinolone Acetonide 0.01 % CREAM [Fluocinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191307","drug_name":"Fluocinolone Acetonide Body 0.01 % OIL [Fluocinolone Acetonide Body]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191310","drug_name":"Fluocinolone Acetonide 0.01 % SOLUTION [Fluocinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1191315","drug_name":"Fluocinolone Acetonide 0.025 % CREAM [Fluocinolone Acetonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1193337","drug_name":"Jakafi 10 MG TAB [Jakafi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1193341","drug_name":"Jakafi 5 MG TAB [Jakafi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1193345","drug_name":"Jakafi 15 MG TAB [Jakafi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1193349","drug_name":"Jakafi 20 MG TAB [Jakafi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1193353","drug_name":"Jakafi 25 MG TAB [Jakafi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1232084","drug_name":"Xarelto 15 MG TAB [Xarelto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1232088","drug_name":"Xarelto 20 MG TAB [Xarelto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1233850","drug_name":"Vestura 3-0.02 MG TAB [Vestura]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1235247","drug_name":"Lurasidone HCl 20 MG TAB [Lurasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1235267","drug_name":"Camrese Lo 0.1-0.02 & 0.01 MG TAB [Camrese Lo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1235591","drug_name":"Isentress 100 MG CHEW TAB [Isentress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1235595","drug_name":"Isentress 25 MG CHEW TAB [Isentress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1236632","drug_name":"Prezista 100 MG/ML SUSPENSION [Prezista]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1242231","drug_name":"Lenalidomide 2.5 MG CAP [Lenalidomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1242233","drug_name":"Revlimid 2.5 MG CAP [Revlimid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1242404","drug_name":"Cardura XL 4 MG TAB ER 24H [Cardura XL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1242408","drug_name":"Cardura XL 8 MG TAB ER 24H [Cardura XL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1242998","drug_name":"Erivedge 150 MG CAP [Erivedge]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243010","drug_name":"Inlyta 1 MG TAB [Inlyta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243014","drug_name":"Inlyta 5 MG TAB [Inlyta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243052","drug_name":"Kalydeco 150 MG TAB [Kalydeco]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243229","drug_name":"Viread 250 MG TAB [Viread]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243326","drug_name":"Viread 150 MG TAB [Viread]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243330","drug_name":"Viread 200 MG TAB [Viread]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243346","drug_name":"Viread 40 MG/GM POWDER [Viread]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1243585","drug_name":"Flurbiprofen Sodium 0.03 % SOLUTION [Flurbiprofen Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1244062","drug_name":"Relistor 12 MG/0.6ML SOLN PRSYR [Relistor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1244064","drug_name":"Relistor 8 MG/0.4ML SOLN PRSYR [Relistor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1244214","drug_name":"Budesonide 3 MG CP DR PART [Budesonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1244611","drug_name":"Tafluprost (PF) 0.0015 % SOLUTION [Tafluprost (PF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1245003","drug_name":"Promacta 12.5 MG TAB [Promacta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1245262","drug_name":"miFEPRIStone 300 MG TAB [miFEPRIStone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1245268","drug_name":"Korlym 300 MG TAB [Korlym]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1245919","drug_name":"Marlissa 0.15-30 MG-MCG TAB [Marlissa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246288","drug_name":"Budesonide-Formoterol Fumarate 80-4.5 MCG/ACT AEROSOL [Budesonide-Formoterol Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246290","drug_name":"Symbicort 80-4.5 MCG/ACT AEROSOL [Symbicort]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246304","drug_name":"Budesonide-Formoterol Fumarate 160-4.5 MCG/ACT AEROSOL [Budesonide-Formoterol Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246306","drug_name":"Symbicort 160-4.5 MCG/ACT AEROSOL [Symbicort]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246310","drug_name":"Dulera 100-5 MCG/ACT AEROSOL [Dulera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246313","drug_name":"Dulera 200-5 MCG/ACT AEROSOL [Dulera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246315","drug_name":"Symbicort 80-4.5 MCG/ACT AEROSOL [Symbicort]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1246317","drug_name":"Symbicort 160-4.5 MCG/ACT AEROSOL [Symbicort]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1249631","drug_name":"Flarex 0.1 % SUSPENSION [Flarex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1250723","drug_name":"Intelence 25 MG TAB [Intelence]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251334","drug_name":"Norethindrone-Eth Estradiol 0.5-2.5 MG-MCG TAB [Norethindrone-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251336","drug_name":"Norethindrone-Eth Estradiol 1-5 MG-MCG TAB [Norethindrone-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251495","drug_name":"CombiPatch 0.05-0.14 MG/DAY PATCH TW [CombiPatch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251501","drug_name":"CombiPatch 0.05-0.25 MG/DAY PATCH TW [CombiPatch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251903","drug_name":"Ethacrynic Acid 25 MG TAB [Ethacrynic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251914","drug_name":"Neupro 1 MG/24HR PATCH 24HR [Neupro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251918","drug_name":"Neupro 3 MG/24HR PATCH 24HR [Neupro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1251922","drug_name":"Neupro 8 MG/24HR PATCH 24HR [Neupro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1252016","drug_name":"Viorele 0.15-0.02/0.01 MG (21/5) TAB [Viorele]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1291082","drug_name":"Hydrocortisone Acetate 25 MG SUPPOS [Hydrocortisone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1291101","drug_name":"Anucort-HC 25 MG SUPPOS [Anucort-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1291103","drug_name":"Anusol-HC 25 MG SUPPOS [Anusol-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1293864","drug_name":"Ergomar 2 MG SL TAB [Ergomar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1297278","drug_name":"Lurasidone HCl 120 MG TAB [Lurasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1297753","drug_name":"Betaxolol HCl 10 MG TAB [Betaxolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1297757","drug_name":"Betaxolol HCl 20 MG TAB [Betaxolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1298088","drug_name":"Flurazepam HCl 15 MG CAP [Flurazepam HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1298091","drug_name":"Flurazepam HCl 30 MG CAP [Flurazepam HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1299896","drug_name":"Moexipril HCl 15 MG TAB [Moexipril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1299897","drug_name":"Moexipril HCl 7.5 MG TAB [Moexipril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1299903","drug_name":"tiaGABine HCl 12 MG TAB [tiaGABine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1299909","drug_name":"tiaGABine HCl 16 MG TAB [tiaGABine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1299911","drug_name":"tiaGABine HCl 2 MG TAB [tiaGABine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1299917","drug_name":"tiaGABine HCl 4 MG TAB [tiaGABine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1300791","drug_name":"Mirabegron ER 25 MG TAB ER 24H [Mirabegron ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1300797","drug_name":"Myrbetriq 25 MG TAB ER 24H [Myrbetriq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1300801","drug_name":"Mirabegron ER 50 MG TAB ER 24H [Mirabegron ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1300803","drug_name":"Myrbetriq 50 MG TAB ER 24H [Myrbetriq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1300911","drug_name":"Wera 0.5-35 MG-MCG TAB [Wera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1304979","drug_name":"Icosapent Ethyl 1 GM CAP [Icosapent Ethyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1304988","drug_name":"Falmina 0.1-20 MG-MCG TAB [Falmina]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1305269","drug_name":"Auvi-Q 0.3 MG/0.3ML SOLN A-INJ [Auvi-Q]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1305757","drug_name":"Tri-Lo-Marzia 0.18/0.215/0.25 MG-25 MCG TAB [Tri-Lo-Marzia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1306298","drug_name":"Stribild 150-150-200-300 MG TAB [Stribild]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1306898","drug_name":"HYDROmorphone HCl ER 32 MG TAB ER 24H [HYDROmorphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1307056","drug_name":"Buprenorphine HCl-Naloxone HCl 4-1 MG FILM [Buprenorphine HCl-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1307061","drug_name":"Buprenorphine HCl-Naloxone HCl 12-3 MG FILM [Buprenorphine HCl-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1307309","drug_name":"Xtandi 40 MG CAP [Xtandi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1307415","drug_name":"Linzess 145 MCG CAP [Linzess]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1307421","drug_name":"Linzess 290 MCG CAP [Linzess]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1307427","drug_name":"Sildenafil Citrate 10 MG/ML RECON SUSP [Sildenafil Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1307630","drug_name":"Bosulif 100 MG TAB [Bosulif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1307635","drug_name":"Bosulif 500 MG TAB [Bosulif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1308428","drug_name":"Everolimus 2 MG TAB SOL [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1308430","drug_name":"Everolimus 3 MG TAB SOL [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1308432","drug_name":"Everolimus 5 MG TAB SOL [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1308569","drug_name":"Rivastigmine 13.3 MG/24HR PATCH 24HR [Rivastigmine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1310525","drug_name":"Teriflunomide 14 MG TAB [Teriflunomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1310531","drug_name":"Aubagio 14 MG TAB [Aubagio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1310533","drug_name":"Teriflunomide 7 MG TAB [Teriflunomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1310535","drug_name":"Aubagio 7 MG TAB [Aubagio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1311535","drug_name":"Tri-Linyah 0.18/0.215/0.25 MG-35 MCG TAB [Tri-Linyah]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1312408","drug_name":"Stivarga 40 MG TAB [Stivarga]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1312625","drug_name":"Loteprednol Etabonate 0.5 % GEL [Loteprednol Etabonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1313112","drug_name":"Phenytoin 100 MG/4ML SUSPENSION [Phenytoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1313785","drug_name":"Cystaran 0.44 % SOLUTION [Cystaran]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1313884","drug_name":"Dilantin-125 125 MG/5ML SUSPENSION [Dilantin-125]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1313885","drug_name":"Phenytoin 50 MG CHEW TAB [Phenytoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1313887","drug_name":"Dilantin Infatabs 50 MG CHEW TAB [Dilantin Infatabs]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1314763","drug_name":"Tobramycin 300 MG/4ML NEBU SOLN [Tobramycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1314768","drug_name":"Bethkis 300 MG/4ML NEBU SOLN [Bethkis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356074","drug_name":"Kurvelo 0.15-30 MG-MCG TAB [Kurvelo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356563","drug_name":"Fycompa 2 MG TAB [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356572","drug_name":"Fycompa 4 MG TAB [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356576","drug_name":"Fycompa 6 MG TAB [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356580","drug_name":"Fycompa 8 MG TAB [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356584","drug_name":"Fycompa 10 MG TAB [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1356588","drug_name":"Fycompa 12 MG TAB [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1357547","drug_name":"Xeljanz 5 MG TAB [Xeljanz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358763","drug_name":"Norethin Ace-Eth Estrad-FE 1-20 MG-MCG TAB [Norethin Ace-Eth Estrad-FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358765","drug_name":"Junel FE 1/20 1-20 MG-MCG TAB [Junel FE 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358770","drug_name":"Loestrin Fe 1/20 1-20 MG-MCG TAB [Loestrin Fe 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358775","drug_name":"Microgestin FE 1/20 1-20 MG-MCG TAB [Microgestin FE 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358776","drug_name":"Norethindrone Acet-Ethinyl Est 1-20 MG-MCG TAB [Norethindrone Acet-Ethinyl Est]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358780","drug_name":"Junel 1/20 1-20 MG-MCG TAB [Junel 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1358781","drug_name":"Loestrin 1/20 (21) 1-20 MG-MCG TAB [Loestrin 1/20 (21)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359020","drug_name":"Microgestin 1/20 1-20 MG-MCG TAB [Microgestin 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359023","drug_name":"Norethin Ace-Eth Estrad-FE 1.5-30 MG-MCG TAB [Norethin Ace-Eth Estrad-FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359027","drug_name":"Microgestin FE 1.5/30 1.5-30 MG-MCG TAB [Microgestin FE 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359028","drug_name":"Norethindrone Acet-Ethinyl Est 1.5-30 MG-MCG TAB [Norethindrone Acet-Ethinyl Est]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359030","drug_name":"Junel 1.5/30 1.5-30 MG-MCG TAB [Junel 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359031","drug_name":"Loestrin 1.5/30 (21) 1.5-30 MG-MCG TAB [Loestrin 1.5/30 (21)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359032","drug_name":"Microgestin 1.5/30 1.5-30 MG-MCG TAB [Microgestin 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359105","drug_name":"Diclofenac-miSOPROStol 75-0.2 MG TAB DR [Diclofenac-miSOPROStol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359124","drug_name":"Estradiol-Norethindrone Acet 0.5-0.1 MG TAB [Estradiol-Norethindrone Acet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359127","drug_name":"Estradiol-Norethindrone Acet 1-0.5 MG TAB [Estradiol-Norethindrone Acet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359129","drug_name":"Mimvey 1-0.5 MG TAB [Mimvey]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1359269","drug_name":"Darunavir 800 MG TAB [Darunavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1361226","drug_name":"Heparin Sodium (Porcine) 1000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1361574","drug_name":"Heparin Sodium (Porcine) 20000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1361615","drug_name":"Heparin Sodium (Porcine) 5000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1361853","drug_name":"Heparin Sodium (Porcine) PF 5000 UNIT/0.5ML SOLUTION [Heparin Sodium (Porcine) PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1362706","drug_name":"Mexiletine HCl 150 MG CAP [Mexiletine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1362712","drug_name":"Mexiletine HCl 200 MG CAP [Mexiletine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1362720","drug_name":"Mexiletine HCl 250 MG CAP [Mexiletine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1362831","drug_name":"Heparin Sodium (Porcine) 10000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1363408","drug_name":"Cometriq (140 MG Daily Dose) 3 x 20 MG & 80 MG KIT [Cometriq (140 mg Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1363410","drug_name":"Cometriq (100 MG Daily Dose) 80 & 20 MG KIT [Cometriq (100 mg Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364114","drug_name":"Signifor 0.3 MG/ML SOLUTION [Signifor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364118","drug_name":"Signifor 0.6 MG/ML SOLUTION [Signifor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364122","drug_name":"Signifor 0.9 MG/ML SOLUTION [Signifor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364358","drug_name":"Iclusig 15 MG TAB [Iclusig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364362","drug_name":"Iclusig 45 MG TAB [Iclusig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364441","drug_name":"Eliquis 2.5 MG TAB [Eliquis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1364447","drug_name":"Eliquis 5 MG TAB [Eliquis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1364490","drug_name":"Juxtapid 10 MG CAP [Juxtapid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364494","drug_name":"Juxtapid 20 MG CAP [Juxtapid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364498","drug_name":"Juxtapid 5 MG CAP [Juxtapid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364515","drug_name":"Sirturo 100 MG TAB [Sirturo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364581","drug_name":"Cometriq (60 mg Daily Dose) 20 MG KIT [Cometriq (60 mg Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1364848","drug_name":"Chateal EQ 0.15-30 MG-MCG TAB [Chateal EQ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1365866","drug_name":"Ilevro 0.3 % SUSPENSION [Ilevro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1365899","drug_name":"Mono-Linyah 0.25-35 MG-MCG TAB [Mono-Linyah]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1366192","drug_name":"cloBAZam 2.5 MG/ML SUSPENSION [cloBAZam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1366339","drug_name":"Skyla 13.5 MG IUD [Skyla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1366550","drug_name":"Budesonide ER 9 MG TAB ER 24H [Budesonide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1367410","drug_name":"Ergocalciferol 1.25 MG (50000 UT) CAP [Ergocalciferol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1367436","drug_name":"Etonogestrel-Ethinyl Estradiol 0.12-0.015 MG/24HR RING [Etonogestrel-Ethinyl Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1367439","drug_name":"NuvaRing 0.12-0.015 MG/24HR RING [NuvaRing]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1368459","drug_name":"Ravicti 1.1 GM/ML LIQUID [Ravicti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1368954","drug_name":"Mesalamine 400 MG CAP DR [Mesalamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1369724","drug_name":"Pomalyst 1 MG CAP [Pomalyst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1369728","drug_name":"Pomalyst 2 MG CAP [Pomalyst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1369732","drug_name":"Pomalyst 3 MG CAP [Pomalyst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1369736","drug_name":"Pomalyst 4 MG CAP [Pomalyst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1369737","drug_name":"Estarylla 0.25-35 MG-MCG TAB [Estarylla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1369770","drug_name":"Tri-Estarylla 0.18/0.215/0.25 MG-35 MCG TAB [Tri-Estarylla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1370982","drug_name":"Osphena 60 MG TAB [Osphena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373008","drug_name":"Vecamyl 2.5 MG TAB [Vecamyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373327","drug_name":"Creon 36000-114000 UNIT CP DR PART [Creon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373333","drug_name":"Zenatane 10 MG CAP [Zenatane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373335","drug_name":"Zenatane 20 MG CAP [Zenatane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373337","drug_name":"Zenatane 40 MG CAP [Zenatane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373483","drug_name":"Dimethyl Fumarate 120 MG CAP DR [Dimethyl Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373491","drug_name":"Dimethyl Fumarate 240 MG CAP DR [Dimethyl Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373497","drug_name":"Dimethyl Fumarate Starter Pack 120 & 240 MG CPDR THPK [Dimethyl Fumarate Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1373503","drug_name":"Levonorgest-Eth Est & Eth Est 42-21-21-7 DAYS TAB [Levonorgest-Eth Est & Eth Est]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1374574","drug_name":"Tobi Podhaler 28 MG CAP [Tobi Podhaler]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1376336","drug_name":"prednisoLONE Acetate 1 % SUSPENSION [prednisoLONE Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"141935","drug_name":"Haloperidol Lactate 2 MG/ML CONC [Haloperidol Lactate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"141963","drug_name":"Azithromycin 200 MG/5ML RECON SUSP [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"142046","drug_name":"metroNIDAZOLE 0.75 % GEL [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1421456","drug_name":"Simbrinza 1-0.2 % SUSPENSION [Simbrinza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1421461","drug_name":"Norethin Ace-Eth Estrad-FE 1-20 MG-MCG(24) CAP [Norethin Ace-Eth Estrad-FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1421473","drug_name":"Procysbi 25 MG CAP DR [Procysbi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1421477","drug_name":"Procysbi 75 MG CAP DR [Procysbi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1422081","drug_name":"Enskyce 0.15-30 MG-MCG TAB [Enskyce]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1422896","drug_name":"Jencycla 0.35 MG TAB [Jencycla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1423123","drug_name":"Daysee 0.15-0.03 &0.01 MG TAB [Daysee]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1424889","drug_name":"Fluticasone Furoate-Vilanterol 100-25 MCG/ACT AER POW BA [Fluticasone Furoate-Vilanterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1425110","drug_name":"Mekinist 0.5 MG TAB [Mekinist]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1425118","drug_name":"Mekinist 2 MG TAB [Mekinist]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1425228","drug_name":"Tafinlar 50 MG CAP [Tafinlar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1425230","drug_name":"Tafinlar 75 MG CAP [Tafinlar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1425337","drug_name":"Zenzedi 10 MG TAB [Zenzedi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1425339","drug_name":"Zenzedi 5 MG TAB [Zenzedi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1426600","drug_name":"Norethin Ace-Eth Estrad-FE 1-20 MG-MCG(24) CHEW TAB [Norethin Ace-Eth Estrad-FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1428947","drug_name":"Lenalidomide 20 MG CAP [Lenalidomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1429367","drug_name":"Revlimid 20 MG CAP [Revlimid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1430383","drug_name":"Lyza 0.35 MG TAB [Lyza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1430449","drug_name":"Gilotrif 20 MG TAB [Gilotrif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1430453","drug_name":"Gilotrif 30 MG TAB [Gilotrif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1430457","drug_name":"Gilotrif 40 MG TAB [Gilotrif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1431235","drug_name":"Lurasidone HCl 60 MG TAB [Lurasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1431977","drug_name":"Astagraf XL 0.5 MG CAP ER 24H [Astagraf XL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1431982","drug_name":"Astagraf XL 1 MG CAP ER 24H [Astagraf XL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1431987","drug_name":"Astagraf XL 5 MG CAP ER 24H [Astagraf XL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1432969","drug_name":"Buprenorphine 15 MCG/HR PATCH WK [Buprenorphine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1433223","drug_name":"Fetzima 120 MG CAP ER 24H [Fetzima]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1433229","drug_name":"Fetzima 20 MG CAP ER 24H [Fetzima]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1433235","drug_name":"Fetzima 40 MG CAP ER 24H [Fetzima]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1433241","drug_name":"Fetzima 80 MG CAP ER 24H [Fetzima]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1433250","drug_name":"Fetzima Titration 20 & 40 MG CP24 THPK [Fetzima Titration]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1433879","drug_name":"Tivicay 50 MG TAB [Tivicay]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1435115","drug_name":"Teriparatide 560 MCG/2.24ML SOLN PEN [Teriparatide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1435117","drug_name":"Forteo 560 MCG/2.24ML SOLN PEN [Forteo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1435624","drug_name":"Enalapril Maleate 1 MG/ML SOLUTION [Enalapril Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1436239","drug_name":"Topiramate ER 50 MG CAP ER 24H [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437278","drug_name":"Topiramate ER 25 MG CAP ER 24H [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437283","drug_name":"Topiramate ER 100 MG CAP ER 24H [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437288","drug_name":"Topiramate ER 200 MG CAP ER 24H [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437702","drug_name":"Ipratropium-Albuterol 0.5-2.5 (3) MG/3ML SOLUTION [Ipratropium-Albuterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437707","drug_name":"Brimonidine Tartrate 0.33 % GEL [Brimonidine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437713","drug_name":"Valchlor 0.016 % GEL [Valchlor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437968","drug_name":"Cyclophosphamide 25 MG CAP [Cyclophosphamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1437969","drug_name":"Cyclophosphamide 50 MG CAP [Cyclophosphamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1438778","drug_name":"Pimtrea 0.15-0.02/0.01 MG (21/5) TAB [Pimtrea]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1439894","drug_name":"Adempas 0.5 MG TAB [Adempas]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1439896","drug_name":"Adempas 1 MG TAB [Adempas]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1439899","drug_name":"Adempas 1.5 MG TAB [Adempas]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1439901","drug_name":"Adempas 2 MG TAB [Adempas]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1439903","drug_name":"Adempas 2.5 MG TAB [Adempas]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1440183","drug_name":"Larin Fe 1/20 1-20 MG-MCG TAB [Larin Fe 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1440185","drug_name":"Aubra EQ 0.1-20 MG-MCG TAB [Aubra EQ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1440936","drug_name":"Proctozone-HC 2.5 % CREAM [Proctozone-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1440937","drug_name":"Larin Fe 1.5/30 1.5-30 MG-MCG TAB [Larin Fe 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1441407","drug_name":"Otrexup 10 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1441413","drug_name":"Otrexup 15 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1441418","drug_name":"Otrexup 20 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1441424","drug_name":"Otrexup 25 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1441530","drug_name":"Actemra 162 MG/0.9ML SOLN PRSYR [Actemra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1441740","drug_name":"Duavee 0.45-20 MG TAB [Duavee]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1442143","drug_name":"Opsumit 10 MG TAB [Opsumit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1442992","drug_name":"Imbruvica 140 MG CAP [Imbruvica]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1482684","drug_name":"Luliconazole 1 % CREAM [Luliconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1482814","drug_name":"Simponi 100 MG/ML SOLN PRSYR [Simponi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1482908","drug_name":"Posaconazole 100 MG TAB DR [Posaconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1483744","drug_name":"Naltrexone HCl 50 MG TAB [Naltrexone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1484296","drug_name":"Velphoro 500 MG CHEW TAB [Velphoro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1484922","drug_name":"Sovaldi 400 MG TAB [Sovaldi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1485332","drug_name":"Vyfemla 0.4-35 MG-MCG TAB [Vyfemla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1486452","drug_name":"Wymzya Fe 0.4-35 MG-MCG CHEW TAB [Wymzya Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1486687","drug_name":"Sapropterin Dihydrochloride 100 MG TAB [Sapropterin Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1486691","drug_name":"Kuvan 100 MG TAB [Kuvan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1486841","drug_name":"Isentress 100 MG PACKET [Isentress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1486977","drug_name":"Farxiga 10 MG TAB [Farxiga]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1486981","drug_name":"Farxiga 5 MG TAB [Farxiga]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1487086","drug_name":"Larin 1/20 1-20 MG-MCG TAB [Larin 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1487288","drug_name":"Endocet 2.5-325 MG TAB [Endocet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1487361","drug_name":"Glatiramer Acetate 40 MG/ML SOLN PRSYR [Glatiramer Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1487524","drug_name":"Anoro Ellipta 62.5-25 MCG/ACT AER POW BA [Anoro Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1487528","drug_name":"Anoro Ellipta 62.5-25 MCG/ACT AER POW BA [Anoro Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1488569","drug_name":"Dapagliflozin Propanediol 10 MG TAB [Dapagliflozin Propanediol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1488574","drug_name":"Dapagliflozin Propanediol 5 MG TAB [Dapagliflozin Propanediol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1488667","drug_name":"Orenitram 0.125 MG TAB ER [Orenitram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1488671","drug_name":"Orenitram 0.25 MG TAB ER [Orenitram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1488675","drug_name":"Orenitram 1 MG TAB ER [Orenitram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1488679","drug_name":"Orenitram 2.5 MG TAB ER [Orenitram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1490065","drug_name":"Raloxifene HCl 60 MG TAB [Raloxifene HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1490473","drug_name":"Tasimelteon 20 MG CAP [Tasimelteon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1491624","drug_name":"Hetlioz 20 MG CAP [Hetlioz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1491634","drug_name":"Myalept 11.3 MG RECON SOLN [Myalept]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1492742","drug_name":"Otezla 20 MG TAB [Otezla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1492746","drug_name":"Otezla 30 MG TAB [Otezla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1494769","drug_name":"Topiramate ER 150 MG CP24 SPRNK [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1495070","drug_name":"Impavido 50 MG CAP [Impavido]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1495092","drug_name":"Norlyroc 0.35 MG TAB [Norlyroc]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1495316","drug_name":"Grastek 2800 BAU SL TAB [Grastek]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1495470","drug_name":"Ragwitek 12 AMB A 1-U SL TAB [Ragwitek]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"150840","drug_name":"Premarin 0.625 MG TAB [Premarin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"151029","drug_name":"Mometasone Furoate 0.1 % OINTMENT [Mometasone Furoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"151030","drug_name":"Mometasone Furoate 0.1 % SOLUTION [Mometasone Furoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"151226","drug_name":"Topiramate 50 MG TAB [Topiramate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"152695","drug_name":"Meloxicam 15 MG TAB [Meloxicam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"153353","drug_name":"Zomig 2.5 MG TAB [Zomig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1534809","drug_name":"Norelgestromin-Eth Estradiol 150-35 MCG/24HR PATCH WK [Norelgestromin-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1536144","drug_name":"Asmanex HFA 100 MCG/ACT AEROSOL [Asmanex HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1536148","drug_name":"Asmanex HFA 200 MCG/ACT AEROSOL [Asmanex HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1536490","drug_name":"Purixan 2000 MG/100ML SUSPENSION [Purixan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1536586","drug_name":"Xulane 150-35 MCG/24HR PATCH WK [Xulane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1537045","drug_name":"Zontivity 2.08 MG TAB [Zontivity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1537209","drug_name":"Larin 1.5/30 1.5-30 MG-MCG TAB [Larin 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1538130","drug_name":"Delyla 0.1-20 MG-MCG TAB [Delyla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1538142","drug_name":"Entyvio 300 MG RECON SOLN [Entyvio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"153822","drug_name":"Candesartan Cilexetil 4 MG TAB [Candesartan Cilexetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"153823","drug_name":"Candesartan Cilexetil 8 MG TAB [Candesartan Cilexetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1539885","drug_name":"Incruse Ellipta 62.5 MCG/ACT AER POW BA [Incruse Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1539891","drug_name":"Breo Ellipta 100-25 MCG/ACT AER POW BA [Breo Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1539893","drug_name":"Breo Ellipta 100-25 MCG/ACT AER POW BA [Breo Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1539953","drug_name":"Deblitane 0.35 MG TAB [Deblitane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1539955","drug_name":"Sharobel 0.35 MG TAB [Sharobel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1540241","drug_name":"Clindamycin Phos-Benzoyl Perox 1.2-5 % GEL [Clindamycin Phos-Benzoyl Perox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1540246","drug_name":"Neuac 1.2-5 % GEL [Neuac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1540356","drug_name":"Proctosol HC 2.5 % CREAM [Proctosol HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1540868","drug_name":"Sivextro 200 MG TAB [Sivextro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1541890","drug_name":"SUNItinib Malate 37.5 MG CAP [SUNItinib Malate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1542997","drug_name":"Buprenorphine 7.5 MCG/HR PATCH WK [Buprenorphine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1543553","drug_name":"Nikki 3-0.02 MG TAB [Nikki]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544383","drug_name":"Rasuvo 10 MG/0.2ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544386","drug_name":"Rasuvo 12.5 MG/0.25ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544388","drug_name":"Rasuvo 15 MG/0.3ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544390","drug_name":"Rasuvo 17.5 MG/0.35ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544394","drug_name":"Rasuvo 20 MG/0.4ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544396","drug_name":"Rasuvo 22.5 MG/0.45ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544398","drug_name":"Rasuvo 25 MG/0.5ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544402","drug_name":"Rasuvo 30 MG/0.6ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544404","drug_name":"Rasuvo 7.5 MG/0.15ML SOLN A-INJ [Rasuvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544471","drug_name":"Zydelig 100 MG TAB [Zydelig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1544475","drug_name":"Zydelig 150 MG TAB [Zydelig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1545174","drug_name":"Cortifoam 10 % FOAM [Cortifoam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1545664","drug_name":"Jardiance 10 MG TAB [Jardiance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1545668","drug_name":"Jardiance 25 MG TAB [Jardiance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1545776","drug_name":"Gleostine 10 MG CAP [Gleostine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1545778","drug_name":"Gleostine 100 MG CAP [Gleostine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1545780","drug_name":"Gleostine 40 MG CAP [Gleostine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1546083","drug_name":"Striverdi Respimat 2.5 MCG/ACT AERO SOLN [Striverdi Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1546189","drug_name":"Plegridy 125 MCG/0.5ML SOLN PRSYR [Plegridy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1546198","drug_name":"Plegridy Starter Pack 63 & 94 MCG/0.5ML SOLN PRSYR [Plegridy Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1546894","drug_name":"Triumeq 600-50-300 MG TAB [Triumeq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547110","drug_name":"Belsomra 10 MG TAB [Belsomra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547114","drug_name":"Belsomra 15 MG TAB [Belsomra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547118","drug_name":"Belsomra 20 MG TAB [Belsomra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547231","drug_name":"Cerdelga 84 MG CAP [Cerdelga]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547575","drug_name":"Belsomra 5 MG TAB [Belsomra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547660","drug_name":"Arnuity Ellipta 100 MCG/ACT AER POW BA [Arnuity Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547664","drug_name":"Arnuity Ellipta 100 MCG/ACT AER POW BA [Arnuity Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547668","drug_name":"Arnuity Ellipta 200 MCG/ACT AER POW BA [Arnuity Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547672","drug_name":"Arnuity Ellipta 200 MCG/ACT AER POW BA [Arnuity Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1547771","drug_name":"Tetracaine HCl 0.5 % SOLUTION [Tetracaine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1549454","drug_name":"Somavert 30 MG RECON SOLN [Somavert]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1549456","drug_name":"Somavert 25 MG RECON SOLN [Somavert]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1549683","drug_name":"Xarelto Starter Pack 15 & 20 MG TAB THPK [Xarelto Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1550536","drug_name":"Tarina FE 1/20 EQ 1-20 MG-MCG TAB [Tarina FE 1/20 EQ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1551300","drug_name":"Trulicity 0.75 MG/0.5ML SOLN A-INJ [Trulicity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1551306","drug_name":"Trulicity 1.5 MG/0.5ML SOLN A-INJ [Trulicity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1551884","drug_name":"Fosrenol 1000 MG PACKET [Fosrenol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1551886","drug_name":"Fosrenol 750 MG PACKET [Fosrenol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1551923","drug_name":"Movantik 12.5 MG TAB [Movantik]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1551999","drug_name":"Tybost 150 MG TAB [Tybost]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1552004","drug_name":"Spiriva Respimat 2.5 MCG/ACT AERO SOLN [Spiriva Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1552009","drug_name":"Spiriva Respimat 2.5 MCG/ACT AERO SOLN [Spiriva Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1591943","drug_name":"Ledipasvir-Sofosbuvir 90-400 MG TAB [Ledipasvir-Sofosbuvir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1592279","drug_name":"Pirfenidone 267 MG CAP [Pirfenidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1592285","drug_name":"Esbriet 267 MG CAP [Esbriet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1592748","drug_name":"Ofev 100 MG CAP [Ofev]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1592752","drug_name":"Ofev 150 MG CAP [Ofev]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593058","drug_name":"Dapagliflozin Pro-metFORMIN ER 10-1000 MG TAB ER 24H [Dapagliflozin Pro-metFORMIN ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593070","drug_name":"Dapagliflozin Pro-metFORMIN ER 5-1000 MG TAB ER 24H [Dapagliflozin Pro-metFORMIN ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593775","drug_name":"Xigduo XR 10-1000 MG TAB ER 24H [Xigduo XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593831","drug_name":"Xigduo XR 5-500 MG TAB ER 24H [Xigduo XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593833","drug_name":"Xigduo XR 5-1000 MG TAB ER 24H [Xigduo XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593835","drug_name":"Xigduo XR 10-500 MG TAB ER 24H [Xigduo XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1593856","drug_name":"Lisdexamfetamine Dimesylate 10 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1594673","drug_name":"Zenpep 25000-79000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1595292","drug_name":"Zenpep 3000-10000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1595457","drug_name":"Zenpep 5000-24000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1595462","drug_name":"Zenpep 10000-32000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1595473","drug_name":"Zenpep 15000-47000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1595478","drug_name":"Zenpep 20000-63000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1596023","drug_name":"Auryxia 1 GM 210 MG(Fe) TAB [Auryxia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1596030","drug_name":"Kitabis Pak 300 MG/5ML NEBU SOLN [Kitabis Pak]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1596108","drug_name":"APAP-Caff-Dihydrocodeine 320.5-30-16 MG CAP [APAP-Caff-Dihydrocodeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1596445","drug_name":"Incruse Ellipta 62.5 MCG/ACT AER POW BA [Incruse Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1596778","drug_name":"Uceris 2 MG/ACT FOAM [Uceris]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1596780","drug_name":"Testosterone 12.5 MG/ACT (1%) GEL [Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1596785","drug_name":"Vogelxo Pump 12.5 MG/ACT (1%) GEL [Vogelxo Pump]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1597076","drug_name":"Testosterone 1.62 % GEL [Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1597123","drug_name":"Testosterone 25 MG/2.5GM (1%) GEL [Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1597129","drug_name":"Testosterone 50 MG/5GM (1%) GEL [Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1597134","drug_name":"Vogelxo 50 MG/5GM (1%) GEL [Vogelxo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1598068","drug_name":"Ivermectin 1 % CREAM [Ivermectin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1598073","drug_name":"Soolantra 1 % CREAM [Soolantra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1598989","drug_name":"Reyataz 50 MG PACKET [Reyataz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1599797","drug_name":"Cosentyx 150 MG/ML SOLN PRSYR [Cosentyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1599949","drug_name":"Testosterone 30 MG/ACT SOLUTION [Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1600695","drug_name":"Amphetamine Sulfate 10 MG TAB [Amphetamine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1600710","drug_name":"Prezcobix 800-150 MG TAB [Prezcobix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1600774","drug_name":"Rytary 23.75-95 MG CAP ER [Rytary]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1600776","drug_name":"Rytary 36.25-145 MG CAP ER [Rytary]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1600915","drug_name":"Rytary 48.75-195 MG CAP ER [Rytary]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1600917","drug_name":"Rytary 61.25-245 MG CAP ER [Rytary]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1601373","drug_name":"Movantik 25 MG TAB [Movantik]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1601386","drug_name":"Ibrance 100 MG CAP [Ibrance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1601390","drug_name":"Ibrance 125 MG CAP [Ibrance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1601394","drug_name":"Ibrance 75 MG CAP [Ibrance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1601660","drug_name":"Evotaz 300-150 MG TAB [Evotaz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1602115","drug_name":"Glyxambi 10-5 MG TAB [Glyxambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1602120","drug_name":"Glyxambi 25-5 MG TAB [Glyxambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1602604","drug_name":"Abilify Maintena 300 MG PRSYR [Abilify Maintena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1602607","drug_name":"Abilify Maintena 400 MG PRSYR [Abilify Maintena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1603861","drug_name":"Ashlyna 0.15-0.03 &0.01 MG TAB [Ashlyna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604336","drug_name":"Nuvessa 1.3 % GEL [Nuvessa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604350","drug_name":"Lenvima (14 MG Daily Dose) 10 & 4 MG CAP THPK [Lenvima (14 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604352","drug_name":"Lenvima (24 MG Daily Dose) 2 x 10 MG & 4 MG CAP THPK [Lenvima (24 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604384","drug_name":"Lenvima (10 MG Daily Dose) 10 MG CAP THPK [Lenvima (10 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604395","drug_name":"Lenvima (20 MG Daily Dose) 2 x 10 MG CAP THPK [Lenvima (20 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604539","drug_name":"Insulin Glargine Solostar 300 UNIT/ML SOLN PEN [Insulin Glargine Solostar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1604544","drug_name":"Toujeo SoloStar 300 UNIT/ML SOLN PEN [Toujeo SoloStar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605071","drug_name":"Zarxio 300 MCG/0.5ML SOLN PRSYR [Zarxio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605075","drug_name":"Zarxio 480 MCG/0.8ML SOLN PRSYR [Zarxio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605086","drug_name":"Juleber 0.15-30 MG-MCG TAB [Juleber]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605088","drug_name":"Zenatane 30 MG CAP [Zenatane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605091","drug_name":"Larin 24 FE 1-20 MG-MCG(24) TAB [Larin 24 FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605172","drug_name":"Aranesp (Albumin Free) 10 MCG/0.4ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605257","drug_name":"Liletta (52 MG) 20.1 MCG/DAY IUD [Liletta (52 MG)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1605455","drug_name":"Otezla 10 & 20 & 30 MG TAB THPK [Otezla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1606337","drug_name":"Asenapine Maleate 2.5 MG SL TAB [Asenapine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1606347","drug_name":"Metoprolol Tartrate 37.5 MG TAB [Metoprolol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1606349","drug_name":"Metoprolol Tartrate 75 MG TAB [Metoprolol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1606866","drug_name":"Kalydeco 50 MG PACKET [Kalydeco]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1606870","drug_name":"Kalydeco 75 MG PACKET [Kalydeco]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607617","drug_name":"Desvenlafaxine Succinate ER 25 MG TAB ER 24H [Desvenlafaxine Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607784","drug_name":"Deferasirox 180 MG TAB [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607790","drug_name":"Jadenu 180 MG TAB [Jadenu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607792","drug_name":"Deferasirox 360 MG TAB [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607794","drug_name":"Jadenu 360 MG TAB [Jadenu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607796","drug_name":"Deferasirox 90 MG TAB [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607798","drug_name":"Jadenu 90 MG TAB [Jadenu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1607990","drug_name":"Norethin-Eth Estradiol-Fe 0.8-25 MG-MCG CHEW TAB [Norethin-Eth Estradiol-Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1608274","drug_name":"Cholbam 250 MG CAP [Cholbam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1608276","drug_name":"Cholbam 50 MG CAP [Cholbam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1608333","drug_name":"Cresemba 186 MG CAP [Cresemba]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1608815","drug_name":"Cresemba 372 MG RECON SOLN [Cresemba]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648160","drug_name":"Zomacton 10 MG RECON SOLN [Zomacton]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648162","drug_name":"Zomacton 5 MG RECON SOLN [Zomacton]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648755","drug_name":"Nitrofurantoin Monohyd Macro 100 MG CAP [Nitrofurantoin Monohyd Macro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648759","drug_name":"Nitrofurantoin Macrocrystal 100 MG CAP [Nitrofurantoin Macrocrystal]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648772","drug_name":"Juxtapid 30 MG CAP [Juxtapid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648785","drug_name":"Breo Ellipta 200-25 MCG/ACT AER POW BA [Breo Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648788","drug_name":"Fluticasone Furoate-Vilanterol 200-25 MCG/ACT AER POW BA [Fluticasone Furoate-Vilanterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648789","drug_name":"Breo Ellipta 200-25 MCG/ACT AER POW BA [Breo Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1648999","drug_name":"Triderm 0.5 % CREAM [Triderm]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649401","drug_name":"Doxycycline Monohydrate 50 MG CAP [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649405","drug_name":"Doxycycline Hyclate 50 MG CAP [Doxycycline Hyclate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649429","drug_name":"Doxycycline Monohydrate 75 MG TAB [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649485","drug_name":"Ivabradine HCl 5 MG TAB [Ivabradine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649491","drug_name":"Corlanor 5 MG TAB [Corlanor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649493","drug_name":"Ivabradine HCl 7.5 MG TAB [Ivabradine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649495","drug_name":"Corlanor 7.5 MG TAB [Corlanor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649593","drug_name":"Plegridy 125 MCG/0.5ML SOLN A-INJ [Plegridy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649605","drug_name":"Plegridy Starter Pack 63 & 94 MCG/0.5ML SOLN A-INJ [Plegridy Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649988","drug_name":"Doxycycline Hyclate 100 MG CAP [Doxycycline Hyclate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649990","drug_name":"Doxycycline Monohydrate 100 MG CAP [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1649996","drug_name":"Rebif Rebidose 22 MCG/0.5ML SOLN A-INJ [Rebif Rebidose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650004","drug_name":"Rebif Rebidose 44 MCG/0.5ML SOLN A-INJ [Rebif Rebidose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650030","drug_name":"Doxycycline Monohydrate 25 MG/5ML RECON SUSP [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650142","drug_name":"Doxycycline Monohydrate 100 MG TAB [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650143","drug_name":"Doxycycline Hyclate 100 MG TAB [Doxycycline Hyclate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650201","drug_name":"Layolis FE 0.8-25 MG-MCG CHEW TAB [Layolis FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650282","drug_name":"Rebif Rebidose Titration Pack 6X8.8 & 6X22 MCG SOLN A-INJ [Rebif Rebidose Titration Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650444","drug_name":"Doxycycline Monohydrate 150 MG TAB [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650901","drug_name":"Avonex Pen 30 MCG/0.5ML AUT-IJ KIT [Avonex Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650968","drug_name":"Invega Trinza 273 MG/0.88ML SUSP PRSYR [Invega Trinza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650972","drug_name":"Invega Trinza 410 MG/1.32ML SUSP PRSYR [Invega Trinza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650974","drug_name":"Invega Trinza 546 MG/1.75ML SUSP PRSYR [Invega Trinza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1650976","drug_name":"Invega Trinza 819 MG/2.63ML SUSP PRSYR [Invega Trinza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1651271","drug_name":"Stiolto Respimat 2.5-2.5 MCG/ACT AERO SOLN [Stiolto Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1651275","drug_name":"Stiolto Respimat 2.5-2.5 MCG/ACT AERO SOLN [Stiolto Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1652084","drug_name":"Junel Fe 24 1-20 MG-MCG(24) TAB [Junel Fe 24]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1652242","drug_name":"HumaLOG KwikPen 200 UNIT/ML SOLN PEN [HumaLOG KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1652639","drug_name":"Insulin Lispro (1 Unit Dial) 100 UNIT/ML SOLN PEN [Insulin Lispro (1 Unit Dial)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1652640","drug_name":"HumaLOG KwikPen 100 UNIT/ML SOLN PEN [HumaLOG KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1652646","drug_name":"HumaLOG 100 UNIT/ML SOLN CART [HumaLOG]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1652673","drug_name":"Doxycycline Monohydrate 50 MG TAB [Doxycycline Monohydrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653144","drug_name":"Simponi 50 MG/0.5ML SOLN A-INJ [Simponi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653166","drug_name":"Simponi 100 MG/ML SOLN A-INJ [Simponi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653196","drug_name":"Insulin Aspart PenFill 100 UNIT/ML SOLN CART [Insulin Aspart PenFill]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653198","drug_name":"NovoLOG PenFill 100 UNIT/ML SOLN CART [NovoLOG PenFill]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653202","drug_name":"Insulin Aspart FlexPen 100 UNIT/ML SOLN PEN [Insulin Aspart FlexPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653204","drug_name":"NovoLOG FlexPen 100 UNIT/ML SOLN PEN [NovoLOG FlexPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653217","drug_name":"Sapropterin Dihydrochloride 500 MG PACKET [Sapropterin Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653221","drug_name":"Kuvan 500 MG PACKET [Kuvan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653225","drug_name":"Enbrel SureClick 50 MG/ML SOLN A-INJ [Enbrel SureClick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653243","drug_name":"Cosentyx Sensoready (300 MG) 150 MG/ML SOLN A-INJ [Cosentyx Sensoready (300 MG)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1653792","drug_name":"Viberzi 75 MG TAB [Viberzi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1654079","drug_name":"Stelara 45 MG/0.5ML SOLUTION [Stelara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1654630","drug_name":"Glatopa 20 MG/ML SOLN PRSYR [Glatopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1654955","drug_name":"Aranesp (Albumin Free) 200 MCG/ML SOLUTION [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1655934","drug_name":"Orkambi 200-125 MG TAB [Orkambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1655956","drug_name":"Methotrexate Sodium (PF) 1000 MG/40ML SOLUTION [Methotrexate Sodium (PF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1655959","drug_name":"Methotrexate Sodium (PF) 250 MG/10ML SOLUTION [Methotrexate Sodium (PF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1655960","drug_name":"Methotrexate Sodium (PF) 50 MG/2ML SOLUTION [Methotrexate Sodium (PF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1656346","drug_name":"Entresto 24-26 MG TAB [Entresto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1656351","drug_name":"Entresto 49-51 MG TAB [Entresto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1656356","drug_name":"Entresto 97-103 MG TAB [Entresto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1656398","drug_name":"Benlysta 120 MG RECON SOLN [Benlysta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1656402","drug_name":"Benlysta 400 MG RECON SOLN [Benlysta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657151","drug_name":"SUMAtriptan Succinate 6 MG/0.5ML SOLN A-INJ [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657160","drug_name":"SUMAtriptan Succinate 6 MG/0.5ML SOLN A-INJ [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657173","drug_name":"SUMAtriptan Succinate 4 MG/0.5ML SOLN A-INJ [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657212","drug_name":"Xolair 150 MG RECON SOLN [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657976","drug_name":"Actemra 80 MG/4ML SOLUTION [Actemra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657980","drug_name":"Actemra 200 MG/10ML SOLUTION [Actemra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1657982","drug_name":"Actemra 400 MG/20ML SOLUTION [Actemra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658325","drug_name":"Rexulti 0.25 MG TAB [Rexulti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658329","drug_name":"Rexulti 0.5 MG TAB [Rexulti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658333","drug_name":"Rexulti 1 MG TAB [Rexulti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658337","drug_name":"Rexulti 2 MG TAB [Rexulti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658341","drug_name":"Rexulti 3 MG TAB [Rexulti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658345","drug_name":"Rexulti 4 MG TAB [Rexulti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658634","drug_name":"Heparin Sodium (Porcine) PF 5000 UNIT/0.5ML SOLUTION [Heparin Sodium (Porcine) PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658637","drug_name":"Heparin Sodium (Porcine) 10000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658647","drug_name":"Heparin Sodium (Porcine) PF 1000 UNIT/ML SOLUTION [Heparin Sodium (Porcine) PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1658659","drug_name":"Heparin Sodium (Porcine) 1000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659161","drug_name":"Praluent 150 MG/ML SOLN A-INJ [Praluent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659183","drug_name":"Praluent 75 MG/ML SOLN A-INJ [Praluent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659260","drug_name":"Heparin Sodium (Porcine) 5000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659263","drug_name":"Heparin Sodium (Porcine) 5000 UNIT/ML SOLUTION [Heparin Sodium (Porcine)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659814","drug_name":"Abilify Maintena 400 MG SRER [Abilify Maintena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659818","drug_name":"Abilify Maintena 300 MG SRER [Abilify Maintena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659927","drug_name":"Odomzo 200 MG CAP [Odomzo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1659929","drug_name":"Naloxone HCl 0.4 MG/ML SOLUTION [Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1660690","drug_name":"Cyred EQ 0.15-30 MG-MCG TAB [Cyred EQ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1660934","drug_name":"Dulera 100-5 MCG/ACT AEROSOL [Dulera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1660938","drug_name":"Dulera 200-5 MCG/ACT AEROSOL [Dulera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1661092","drug_name":"Setlakin 0.15-0.03 MG TAB [Setlakin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1661560","drug_name":"Tobi Podhaler 28 MG CAP [Tobi Podhaler]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1661799","drug_name":"Keveyis 50 MG TAB [Keveyis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1664321","drug_name":"Synjardy 5-500 MG TAB [Synjardy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1664325","drug_name":"Synjardy 12.5-500 MG TAB [Synjardy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1664328","drug_name":"Synjardy 5-1000 MG TAB [Synjardy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1664440","drug_name":"Envarsus XR 4 MG TAB ER 24H [Envarsus XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1664458","drug_name":"Envarsus XR 0.75 MG TAB ER 24H [Envarsus XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1664463","drug_name":"Envarsus XR 1 MG TAB ER 24H [Envarsus XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1665369","drug_name":"Synjardy 12.5-1000 MG TAB [Synjardy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1665473","drug_name":"Xuriden 2 GM PACKET [Xuriden]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1665900","drug_name":"Repatha SureClick 140 MG/ML SOLN A-INJ [Repatha SureClick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1665906","drug_name":"Repatha 140 MG/ML SOLN PRSYR [Repatha]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1666334","drug_name":"Brilinta 60 MG TAB [Brilinta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1666391","drug_name":"Addyi 100 MG TAB [Addyi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1666542","drug_name":"Mondoxyne NL 100 MG CAP [Mondoxyne NL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1667666","drug_name":"Vraylar 1.5 MG CAP [Vraylar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1667670","drug_name":"Vraylar 3 MG CAP [Vraylar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1667674","drug_name":"Vraylar 4.5 MG CAP [Vraylar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1667678","drug_name":"Vraylar 6 MG CAP [Vraylar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1667882","drug_name":"Spiriva Respimat 1.25 MCG/ACT AERO SOLN [Spiriva Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1670011","drug_name":"Insulin Degludec FlexTouch 100 UNIT/ML SOLN PEN [Insulin Degludec FlexTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1670016","drug_name":"Tresiba FlexTouch 100 UNIT/ML SOLN PEN [Tresiba FlexTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1670021","drug_name":"Insulin Degludec FlexTouch 200 UNIT/ML SOLN PEN [Insulin Degludec FlexTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1670023","drug_name":"Tresiba FlexTouch 200 UNIT/ML SOLN PEN [Tresiba FlexTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1670322","drug_name":"Lonsurf 15-6.14 MG TAB [Lonsurf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1670324","drug_name":"Lonsurf 20-8.19 MG TAB [Lonsurf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1673274","drug_name":"Aristada 441 MG/1.6ML PRSYR [Aristada]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1673278","drug_name":"Aristada 662 MG/2.4ML PRSYR [Aristada]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1673280","drug_name":"Aristada 882 MG/3.2ML PRSYR [Aristada]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1673373","drug_name":"Varubi (180 MG Dose) 2 x 90 MG TAB THPK [Varubi (180 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1674197","drug_name":"Hemmorex-HC 25 MG SUPPOS [Hemmorex-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1716063","drug_name":"Belbuca 150 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716067","drug_name":"Belbuca 300 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716071","drug_name":"Belbuca 450 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716075","drug_name":"Belbuca 600 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716079","drug_name":"Belbuca 75 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716083","drug_name":"Belbuca 750 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716090","drug_name":"Belbuca 900 MCG FILM [Belbuca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1716215","drug_name":"Veltassa 8.4 GM PACKET [Veltassa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1716219","drug_name":"Veltassa 16.8 GM PACKET [Veltassa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1716223","drug_name":"Veltassa 25.2 GM PACKET [Veltassa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1716268","drug_name":"Ferriprox 100 MG/ML SOLUTION [Ferriprox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1718928","drug_name":"ZyPREXA Relprevv 405 MG RECON SUSP [ZyPREXA Relprevv]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1718932","drug_name":"ZyPREXA Relprevv 300 MG RECON SUSP [ZyPREXA Relprevv]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1718936","drug_name":"ZyPREXA Relprevv 210 MG RECON SUSP [ZyPREXA Relprevv]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1719766","drug_name":"Viberzi 100 MG TAB [Viberzi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1720268","drug_name":"Strensiq 18 MG/0.45ML SOLUTION [Strensiq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1720272","drug_name":"Strensiq 28 MG/0.7ML SOLUTION [Strensiq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1720276","drug_name":"Strensiq 40 MG/ML SOLUTION [Strensiq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1720280","drug_name":"Strensiq 80 MG/0.8ML SOLUTION [Strensiq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1720616","drug_name":"Vienva 0.1-20 MG-MCG TAB [Vienva]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1721571","drug_name":"Tagrisso 40 MG TAB [Tagrisso]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1721583","drug_name":"Tagrisso 80 MG TAB [Tagrisso]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1721619","drug_name":"Genvoya 150-150-200-10 MG TAB [Genvoya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1721690","drug_name":"Procrit 10000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1721965","drug_name":"Microgestin 24 Fe 1-20 MG-MCG TAB [Microgestin 24 Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1722376","drug_name":"Cotellic 20 MG TAB [Cotellic]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1722676","drug_name":"Tri-Lo-Estarylla 0.18/0.215/0.25 MG-25 MCG TAB [Tri-Lo-Estarylla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1722680","drug_name":"Blisovi 24 Fe 1-20 MG-MCG(24) TAB [Blisovi 24 Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1723232","drug_name":"Desmopressin Acetate 4 MCG/ML SOLUTION [Desmopressin Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1723476","drug_name":"Dabigatran Etexilate Mesylate 110 MG CAP [Dabigatran Etexilate Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1723478","drug_name":"Pradaxa 110 MG CAP [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1723763","drug_name":"Ninlaro 2.3 MG CAP [Ninlaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1723767","drug_name":"Ninlaro 3 MG CAP [Ninlaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1723772","drug_name":"Ninlaro 4 MG CAP [Ninlaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1724801","drug_name":"Blisovi FE 1/20 1-20 MG-MCG TAB [Blisovi FE 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1726639","drug_name":"Iclusig 30 MG TAB [Iclusig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1727485","drug_name":"Alecensa 150 MG CAP [Alecensa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1727521","drug_name":"Kaitlib Fe 0.8-25 MG-MCG CHEW TAB [Kaitlib Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729013","drug_name":"Uptravi 1000 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729029","drug_name":"Uptravi 1200 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729033","drug_name":"Uptravi 1400 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729047","drug_name":"Uptravi 1600 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729053","drug_name":"Uptravi 200 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729057","drug_name":"Uptravi 400 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729061","drug_name":"Uptravi 600 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729065","drug_name":"Uptravi 800 MCG TAB [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729076","drug_name":"Uptravi 200 & 800 MCG TAB THPK [Uptravi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1729311","drug_name":"Emend 125 MG/5ML RECON SUSP [Emend]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1729516","drug_name":"Blisovi Fe 1.5/30 1.5-30 MG-MCG TAB [Blisovi Fe 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1731020","drug_name":"Roweepra 500 MG TAB [Roweepra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1731317","drug_name":"HumuLIN R U-500 KwikPen 500 UNIT/ML SOLN PEN [HumuLIN R U-500 KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1735496","drug_name":"Nutropin AQ NuSpin 20 20 MG/2ML SOLN PEN [Nutropin AQ NuSpin 20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1735537","drug_name":"Nutropin AQ NuSpin 10 10 MG/2ML SOLN PEN [Nutropin AQ NuSpin 10]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1736654","drug_name":"Fyavolv 0.5-2.5 MG-MCG TAB [Fyavolv]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1736656","drug_name":"Fyavolv 1-5 MG-MCG TAB [Fyavolv]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1736863","drug_name":"Basaglar KwikPen 100 UNIT/ML SOLN PEN [Basaglar KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1737789","drug_name":"Emverm 100 MG CHEW TAB [Emverm]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738483","drug_name":"PARoxetine HCl 10 MG TAB [PARoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738495","drug_name":"PARoxetine HCl 20 MG TAB [PARoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738503","drug_name":"PARoxetine HCl 30 MG TAB [PARoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738511","drug_name":"PARoxetine HCl 40 MG TAB [PARoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738589","drug_name":"Solu-CORTEF 1000 MG RECON SOLN [Solu-CORTEF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738592","drug_name":"Solu-CORTEF 250 MG RECON SOLN [Solu-CORTEF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738596","drug_name":"Solu-CORTEF 500 MG RECON SOLN [Solu-CORTEF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738803","drug_name":"PARoxetine HCl ER 12.5 MG TAB ER 24H [PARoxetine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738805","drug_name":"PARoxetine HCl ER 25 MG TAB ER 24H [PARoxetine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1738807","drug_name":"PARoxetine HCl ER 37.5 MG TAB ER 24H [PARoxetine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739766","drug_name":"Briviact 10 MG TAB [Briviact]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739770","drug_name":"Briviact 100 MG TAB [Briviact]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739774","drug_name":"Briviact 25 MG TAB [Briviact]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739778","drug_name":"Briviact 50 MG TAB [Briviact]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739782","drug_name":"Briviact 75 MG TAB [Briviact]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739788","drug_name":"Briviact 10 MG/ML SOLUTION [Briviact]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1739800","drug_name":"Vistogard 10 GM PACKET [Vistogard]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1741049","drug_name":"Xeljanz XR 11 MG TAB ER 24H [Xeljanz XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1741739","drug_name":"Odefsey 200-25-25 MG TAB [Odefsey]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1741747","drug_name":"Vraylar 1.5 & 3 MG CAP THPK [Vraylar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1744001","drug_name":"Emtricitabine-Tenofovir DF 100-150 MG TAB [Emtricitabine-Tenofovir DF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1744005","drug_name":"Emtricitabine-Tenofovir DF 133-200 MG TAB [Emtricitabine-Tenofovir DF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1744009","drug_name":"Emtricitabine-Tenofovir DF 167-250 MG TAB [Emtricitabine-Tenofovir DF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1745091","drug_name":"Lidocaine 5 % PATCH [Lidocaine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1745108","drug_name":"Taltz 80 MG/ML SOLN A-INJ [Taltz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1745114","drug_name":"Taltz 80 MG/ML SOLN PRSYR [Taltz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747181","drug_name":"Otrexup 12.5 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747187","drug_name":"Otrexup 17.5 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747194","drug_name":"Otrexup 22.5 MG/0.4ML SOLN A-INJ [Otrexup]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747567","drug_name":"Venclexta 100 MG TAB [Venclexta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747577","drug_name":"Venclexta 10 MG TAB [Venclexta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747579","drug_name":"Venclexta 50 MG TAB [Venclexta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747580","drug_name":"Venclexta Starting Pack 10 & 50 & 100 MG TAB THPK [Venclexta Starting Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1747697","drug_name":"Descovy 200-25 MG TAB [Descovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790126","drug_name":"Fycompa 0.5 MG/ML SUSPENSION [Fycompa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790167","drug_name":"Cabometyx 20 MG TAB [Cabometyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790171","drug_name":"Cabometyx 40 MG TAB [Cabometyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790175","drug_name":"Cabometyx 60 MG TAB [Cabometyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790317","drug_name":"Orfadin 4 MG/ML SUSPENSION [Orfadin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790533","drug_name":"Xtampza ER 9 MG CP12 DETER [Xtampza ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1790684","drug_name":"Procto-Med HC 2.5 % CREAM [Procto-Med HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790886","drug_name":"Trintellix 10 MG TAB [Trintellix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790890","drug_name":"Trintellix 20 MG TAB [Trintellix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1790892","drug_name":"Trintellix 5 MG TAB [Trintellix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1791560","drug_name":"Xtampza ER 13.5 MG CP12 DETER [Xtampza ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1791569","drug_name":"Xtampza ER 18 MG CP12 DETER [Xtampza ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1791576","drug_name":"Xtampza ER 27 MG CP12 DETER [Xtampza ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1791582","drug_name":"Xtampza ER 36 MG CP12 DETER [Xtampza ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1792386","drug_name":"Ciprofloxacin-Fluocinolone PF 0.3-0.025 % SOLUTION [Ciprofloxacin-Fluocinolone PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1792393","drug_name":"Lenvima (18 MG Daily Dose) 10 MG & 2 x 4 MG CAP THPK [Lenvima (18 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1796665","drug_name":"Lenvima (8 MG Daily Dose) 2 x 4 MG CAP THPK [Lenvima (8 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797113","drug_name":"Yuvafem 10 MCG TAB [Yuvafem]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797833","drug_name":"Ipratropium Bromide 0.03 % SOLUTION [Ipratropium Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797844","drug_name":"Ipratropium Bromide 0.06 % SOLUTION [Ipratropium Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797863","drug_name":"Flunisolide 25 MCG/ACT (0.025%) SOLUTION [Flunisolide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797867","drug_name":"Azelastine HCl 0.1 % SOLUTION [Azelastine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797880","drug_name":"Synarel 2 MG/ML SOLUTION [Synarel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797888","drug_name":"Nicotrol NS 10 MG/ML SOLUTION [Nicotrol NS]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797895","drug_name":"Olopatadine HCl 0.6 % SOLUTION [Olopatadine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797902","drug_name":"Qnasl Childrens 40 MCG/ACT AERO SOLN [Qnasl Childrens]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1797921","drug_name":"Qnasl 80 MCG/ACT AERO SOLN [Qnasl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1798370","drug_name":"Ocaliva 5 MG TAB [Ocaliva]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1798375","drug_name":"Ocaliva 10 MG TAB [Ocaliva]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1798389","drug_name":"Heparin Sodium (Porcine) PF 5000 UNIT/ML SOLUTION [Heparin Sodium (Porcine) PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1798999","drug_name":"Nitisinone 20 MG CAP [Nitisinone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1799001","drug_name":"Orfadin 20 MG CAP [Orfadin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1799212","drug_name":"Sofosbuvir-Velpatasvir 400-100 MG TAB [Sofosbuvir-Velpatasvir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1799230","drug_name":"Orencia ClickJect 125 MG/ML SOLN A-INJ [Orencia ClickJect]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1799654","drug_name":"SPS (Sodium Polystyrene Sulf) 15 GM/60ML SUSPENSION [SPS (Sodium Polystyrene Sulf)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1800499","drug_name":"Mili 0.25-35 MG-MCG TAB [Mili]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1800500","drug_name":"Tri-Mili 0.18/0.215/0.25 MG-35 MCG TAB [Tri-Mili]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801279","drug_name":"Cholestyramine Light 4 GM/DOSE POWDER [Cholestyramine Light]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801289","drug_name":"buPROPion HCl ER (Smoking Det) 150 MG TAB ER 12H [buPROPion HCl ER (Smoking Det)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801294","drug_name":"Potassium Chloride Crys ER 20 MEQ TAB ER [Potassium Chloride Crys ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801295","drug_name":"Klor-Con M20 20 MEQ TAB ER [Klor-Con M20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801298","drug_name":"Potassium Chloride Crys ER 10 MEQ TAB ER [Potassium Chloride Crys ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801299","drug_name":"Klor-Con M10 10 MEQ TAB ER [Klor-Con M10]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801322","drug_name":"Repatha Pushtronex System 420 MG/3.5ML SOLN CART [Repatha Pushtronex System]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801519","drug_name":"Relistor 150 MG TAB [Relistor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1801840","drug_name":"Xiidra 5 % SOLUTION [Xiidra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1806177","drug_name":"Methylphenidate HCl ER (LA) 20 MG CAP ER 24H [Methylphenidate HCl ER (LA)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806179","drug_name":"Methylphenidate HCl ER (LA) 30 MG CAP ER 24H [Methylphenidate HCl ER (LA)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806181","drug_name":"Methylphenidate HCl ER (CD) 10 MG CAP ER [Methylphenidate HCl ER (CD)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806183","drug_name":"Methylphenidate HCl ER (LA) 40 MG CAP ER 24H [Methylphenidate HCl ER (LA)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806187","drug_name":"Methylphenidate HCl ER (CD) 20 MG CAP ER [Methylphenidate HCl ER (CD)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806189","drug_name":"Methylphenidate HCl ER (CD) 30 MG CAP ER [Methylphenidate HCl ER (CD)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806191","drug_name":"Methylphenidate HCl ER (CD) 40 MG CAP ER [Methylphenidate HCl ER (CD)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806193","drug_name":"Methylphenidate HCl ER (CD) 50 MG CAP ER [Methylphenidate HCl ER (CD)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806195","drug_name":"Methylphenidate HCl ER (LA) 10 MG CAP ER 24H [Methylphenidate HCl ER (LA)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806197","drug_name":"Methylphenidate HCl ER (CD) 60 MG CAP ER [Methylphenidate HCl ER (CD)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1806683","drug_name":"Amabelz 0.5-0.1 MG TAB [Amabelz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1811180","drug_name":"Icosapent Ethyl 0.5 GM CAP [Icosapent Ethyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812011","drug_name":"NIFEdipine ER Osmotic Release 30 MG TAB ER 24H [NIFEdipine ER Osmotic Release]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812013","drug_name":"NIFEdipine ER Osmotic Release 60 MG TAB ER 24H [NIFEdipine ER Osmotic Release]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812015","drug_name":"NIFEdipine ER Osmotic Release 90 MG TAB ER 24H [NIFEdipine ER Osmotic Release]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812279","drug_name":"Ayuna 0.15-30 MG-MCG TAB [Ayuna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812419","drug_name":"Topiramate ER 200 MG CP24 SPRNK [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812421","drug_name":"Topiramate ER 25 MG CP24 SPRNK [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812425","drug_name":"Topiramate ER 50 MG CP24 SPRNK [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812427","drug_name":"Topiramate ER 100 MG CP24 SPRNK [Topiramate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812434","drug_name":"Methoxsalen Rapid 10 MG CAP [Methoxsalen Rapid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1812470","drug_name":"Orkambi 100-125 MG TAB [Orkambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1855389","drug_name":"Levalbuterol HCl 1.25 MG/0.5ML NEBU SOLN [Levalbuterol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1856402","drug_name":"Nylia 1/35 1-35 MG-MCG TAB [Nylia 1/35]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1856424","drug_name":"Nylia 7/7/7 0.5/0.75/1-35 MG-MCG TAB [Nylia 7/7/7]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1856546","drug_name":"Kyleena 19.5 MG IUD [Kyleena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1857925","drug_name":"Selzentry 20 MG/ML SOLUTION [Selzentry]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1858267","drug_name":"Vemlidy 25 MG TAB [Vemlidy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1858833","drug_name":"Orenitram 5 MG TAB ER [Orenitram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1858836","drug_name":"Tri-Lo-Mili 0.18/0.215/0.25 MG-25 MCG TAB [Tri-Lo-Mili]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1859501","drug_name":"Promacta 25 MG PACKET [Promacta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1860414","drug_name":"Afirmelle 0.1-20 MG-MCG TAB [Afirmelle]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1862590","drug_name":"Rubraca 300 MG TAB [Rubraca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1862595","drug_name":"Rubraca 200 MG TAB [Rubraca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1862688","drug_name":"Synjardy XR 10-1000 MG TAB ER 24H [Synjardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1862692","drug_name":"Synjardy XR 12.5-1000 MG TAB ER 24H [Synjardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1862697","drug_name":"Synjardy XR 25-1000 MG TAB ER 24H [Synjardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1862701","drug_name":"Synjardy XR 5-1000 MG TAB ER 24H [Synjardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1865144","drug_name":"Proctocort 1 % CREAM [Proctocort]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1865295","drug_name":"Novarel 5000 UNIT RECON SOLN [Novarel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1865962","drug_name":"Eucrisa 2 % OINTMENT [Eucrisa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1866047","drug_name":"Isibloom 0.15-30 MG-MCG TAB [Isibloom]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1867544","drug_name":"Potassium Chloride 20 MEQ PACKET [Potassium Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1867547","drug_name":"Klor-Con 20 MEQ PACKET [Klor-Con]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1868014","drug_name":"Pirfenidone 267 MG TAB [Pirfenidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1868016","drug_name":"Esbriet 267 MG TAB [Esbriet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1868018","drug_name":"Pirfenidone 801 MG TAB [Pirfenidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1868020","drug_name":"Esbriet 801 MG TAB [Esbriet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1869684","drug_name":"L-Glutamine 5 GM PACKET [L-Glutamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1869699","drug_name":"Linzess 72 MCG CAP [Linzess]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1869821","drug_name":"Rhofade 1 % CREAM [Rhofade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1870207","drug_name":"EPINEPHrine 0.3 MG/0.3ML SOLN A-INJ [EPINEPHrine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1870225","drug_name":"EPINEPHrine 0.15 MG/0.15ML SOLN A-INJ [EPINEPHrine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1871456","drug_name":"Lisdexamfetamine Dimesylate 40 MG CHEW TAB [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1871460","drug_name":"Lisdexamfetamine Dimesylate 30 MG CHEW TAB [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1871462","drug_name":"Lisdexamfetamine Dimesylate 20 MG CHEW TAB [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1871464","drug_name":"Lisdexamfetamine Dimesylate 10 MG CHEW TAB [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1871466","drug_name":"Lisdexamfetamine Dimesylate 60 MG CHEW TAB [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1871468","drug_name":"Lisdexamfetamine Dimesylate 50 MG CHEW TAB [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1872458","drug_name":"Xermelo 250 MG TAB [Xermelo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1873704","drug_name":"Mibelas 24 Fe 1-20 MG-MCG(24) CHEW TAB [Mibelas 24 Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1873765","drug_name":"Trulance 3 MG TAB [Trulance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1873991","drug_name":"Kisqali (200 MG Dose) 200 MG TAB THPK [Kisqali (200 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1873993","drug_name":"Kisqali (400 MG Dose) 200 MG TAB THPK [Kisqali (400 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1873995","drug_name":"Kisqali (600 MG Dose) 200 MG TAB THPK [Kisqali (600 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1874553","drug_name":"Desvenlafaxine Succinate ER 100 MG TAB ER 24H [Desvenlafaxine Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1874559","drug_name":"Desvenlafaxine Succinate ER 50 MG TAB ER 24H [Desvenlafaxine Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876385","drug_name":"Ocrevus 300 MG/10ML SOLUTION [Ocrevus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876397","drug_name":"Rivelsa 42-21-21-7 DAYS TAB [Rivelsa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876406","drug_name":"Dupixent 300 MG/2ML SOLN PRSYR [Dupixent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876609","drug_name":"Symproic 0.2 MG TAB [Symproic]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876810","drug_name":"Simliya 0.15-0.02/0.01 MG (21/5) TAB [Simliya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876916","drug_name":"Austedo 12 MG TAB [Austedo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876920","drug_name":"Austedo 6 MG TAB [Austedo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1876924","drug_name":"Austedo 9 MG TAB [Austedo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1918042","drug_name":"Abiraterone Acetate 500 MG TAB [Abiraterone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1918056","drug_name":"Simpesse 0.15-0.03 &0.01 MG TAB [Simpesse]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1918194","drug_name":"Fluticasone-Salmeterol 113-14 MCG/ACT AER POW BA [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1918203","drug_name":"Fluticasone-Salmeterol 232-14 MCG/ACT AER POW BA [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1918209","drug_name":"Fluticasone-Salmeterol 55-14 MCG/ACT AER POW BA [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1918230","drug_name":"Ingrezza 40 MG CAP [Ingrezza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1919094","drug_name":"Rydapt 25 MG CAP [Rydapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1921081","drug_name":"Tymlos 3120 MCG/1.56ML SOLN PEN [Tymlos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1921228","drug_name":"Alunbrig 30 MG TAB [Alunbrig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1921589","drug_name":"Rubraca 250 MG TAB [Rubraca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1922720","drug_name":"Sotalol HCl (AF) 120 MG TAB [Sotalol HCl (AF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1922763","drug_name":"Sotalol HCl (AF) 160 MG TAB [Sotalol HCl (AF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1922765","drug_name":"Sotalol HCl (AF) 80 MG TAB [Sotalol HCl (AF)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1922783","drug_name":"Dorzolamide HCl-Timolol Mal PF 2-0.5 % SOLUTION [Dorzolamide HCl-Timolol Mal PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923047","drug_name":"Levothyroxine Sodium 175 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923049","drug_name":"Tirosint 175 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923050","drug_name":"Levothyroxine Sodium 200 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923052","drug_name":"Tirosint 200 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923338","drug_name":"Kevzara 150 MG/1.14ML SOLN PRSYR [Kevzara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923347","drug_name":"Kevzara 200 MG/1.14ML SOLN PRSYR [Kevzara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923421","drug_name":"Kalliga 0.15-30 MG-MCG TAB [Kalliga]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923422","drug_name":"Sotalol HCl 120 MG TAB [Sotalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923424","drug_name":"Sotalol HCl 160 MG TAB [Sotalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923426","drug_name":"Sotalol HCl 80 MG TAB [Sotalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923428","drug_name":"Timolol Maleate 0.25 % SOLUTION [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923432","drug_name":"Dorzolamide HCl-Timolol Mal 2-0.5 % SOLUTION [Dorzolamide HCl-Timolol Mal]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923822","drug_name":"Deferasirox 90 MG PACKET [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923825","drug_name":"Jadenu Sprinkle 90 MG PACKET [Jadenu Sprinkle]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923826","drug_name":"Deferasirox 360 MG PACKET [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923827","drug_name":"Jadenu Sprinkle 360 MG PACKET [Jadenu Sprinkle]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923828","drug_name":"Deferasirox 180 MG PACKET [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1923829","drug_name":"Jadenu Sprinkle 180 MG PACKET [Jadenu Sprinkle]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1924315","drug_name":"Isentress HD 600 MG TAB [Isentress HD]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1925255","drug_name":"Orencia 50 MG/0.4ML SOLN PRSYR [Orencia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1925257","drug_name":"Orencia 87.5 MG/0.7ML SOLN PRSYR [Orencia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1925264","drug_name":"Aristada 1064 MG/3.9ML PRSYR [Aristada]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1926069","drug_name":"Norvir 100 MG PACKET [Norvir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1926331","drug_name":"Insulin Lispro Junior KwikPen 100 UNIT/ML SOLN PEN [Insulin Lispro Junior KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1926332","drug_name":"HumaLOG Junior KwikPen 100 UNIT/ML SOLN PEN [HumaLOG Junior KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1926823","drug_name":"Haegarda 2000 UNIT RECON SOLN [Haegarda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1926827","drug_name":"Haegarda 3000 UNIT RECON SOLN [Haegarda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1926946","drug_name":"Aurovela FE 1/20 1-20 MG-MCG TAB [Aurovela FE 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1927290","drug_name":"Renflexis 100 MG RECON SOLN [Renflexis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1927366","drug_name":"Aurovela 1/20 1-20 MG-MCG TAB [Aurovela 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1927682","drug_name":"Baxdela 450 MG TAB [Baxdela]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1927693","drug_name":"Intrarosa 6.5 MG INSERT [Intrarosa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1927957","drug_name":"Aurovela 24 FE 1-20 MG-MCG(24) TAB [Aurovela 24 FE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1928007","drug_name":"Aurovela 1.5/30 1.5-30 MG-MCG TAB [Aurovela 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1928689","drug_name":"Tremfya 100 MG/ML SOLN PRSYR [Tremfya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1928941","drug_name":"Endari 5 GM PACKET [Endari]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1939299","drug_name":"Benlysta 200 MG/ML SOLN A-INJ [Benlysta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1939335","drug_name":"Vosevi 400-100-100 MG TAB [Vosevi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1939348","drug_name":"Benlysta 200 MG/ML SOLN PRSYR [Benlysta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1940372","drug_name":"IDHIFA 100 MG TAB [IDHIFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1940376","drug_name":"IDHIFA 50 MG TAB [IDHIFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1940498","drug_name":"Xigduo XR 2.5-1000 MG TAB ER 24H [Xigduo XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1940654","drug_name":"Nerlynx 40 MG TAB [Nerlynx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1940709","drug_name":"Mavyret 100-40 MG TAB [Mavyret]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1941470","drug_name":"Nityr 10 MG TAB [Nityr]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1941473","drug_name":"Nityr 5 MG TAB [Nityr]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1941476","drug_name":"Nityr 2 MG TAB [Nityr]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1942485","drug_name":"Lynparza 100 MG TAB [Lynparza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1942489","drug_name":"Lynparza 150 MG TAB [Lynparza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1945044","drug_name":"Trelegy Ellipta 100-62.5-25 MCG/ACT AER POW BA [Trelegy Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1945048","drug_name":"Trelegy Ellipta 100-62.5-25 MCG/ACT AER POW BA [Trelegy Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946520","drug_name":"Lupron Depot-Ped (3-Month) 30 MG KIT [Lupron Depot-Ped (3-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946522","drug_name":"Lupron Depot (4-Month) 30 MG KIT [Lupron Depot (4-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946525","drug_name":"traMADol HCl (ER Biphasic) 300 MG TAB ER 24H [traMADol HCl (ER Biphasic)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1946527","drug_name":"traMADol HCl (ER Biphasic) 200 MG TAB ER 24H [traMADol HCl (ER Biphasic)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1946529","drug_name":"traMADol HCl (ER Biphasic) 100 MG TAB ER 24H [traMADol HCl (ER Biphasic)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1946589","drug_name":"Xhance 93 MCG/ACT EXHU [Xhance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"1946772","drug_name":"Methotrexate Sodium 250 MG/10ML SOLUTION [Methotrexate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946836","drug_name":"Verzenio 50 MG TAB [Verzenio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946840","drug_name":"Verzenio 100 MG TAB [Verzenio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946844","drug_name":"Verzenio 150 MG TAB [Verzenio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1946848","drug_name":"Verzenio 200 MG TAB [Verzenio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197303","drug_name":"acetaZOLAMIDE 125 MG TAB [acetaZOLAMIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197304","drug_name":"acetaZOLAMIDE 250 MG TAB [acetaZOLAMIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197305","drug_name":"Acetic Acid 2 % SOLUTION [Acetic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197310","drug_name":"Acyclovir 200 MG CAP [Acyclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197311","drug_name":"Acyclovir 400 MG TAB [Acyclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197312","drug_name":"Acyclovir 5 % OINTMENT [Acyclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197313","drug_name":"Acyclovir 800 MG TAB [Acyclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197316","drug_name":"Albuterol Sulfate 2 MG TAB [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197318","drug_name":"Albuterol Sulfate 4 MG TAB [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197319","drug_name":"Allopurinol 100 MG TAB [Allopurinol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197320","drug_name":"Allopurinol 300 MG TAB [Allopurinol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197321","drug_name":"ALPRAZolam 1 MG TAB [ALPRAZolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197322","drug_name":"ALPRAZolam 2 MG TAB [ALPRAZolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197361","drug_name":"amLODIPine Besylate 5 MG TAB [amLODIPine Besylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197362","drug_name":"Ammonium Lactate 12 % LOTION [Ammonium Lactate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197363","drug_name":"Amoxapine 100 MG TAB [Amoxapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197364","drug_name":"Amoxapine 150 MG TAB [Amoxapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197365","drug_name":"Amoxapine 25 MG TAB [Amoxapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197366","drug_name":"Amoxapine 50 MG TAB [Amoxapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197379","drug_name":"Atenolol 100 MG TAB [Atenolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197380","drug_name":"Atenolol 25 MG TAB [Atenolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197381","drug_name":"Atenolol 50 MG TAB [Atenolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197382","drug_name":"Atenolol-Chlorthalidone 100-25 MG TAB [Atenolol-Chlorthalidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197383","drug_name":"Atenolol-Chlorthalidone 50-25 MG TAB [Atenolol-Chlorthalidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197388","drug_name":"azaTHIOprine 50 MG TAB [azaTHIOprine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197391","drug_name":"Baclofen 10 MG TAB [Baclofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197392","drug_name":"Baclofen 20 MG TAB [Baclofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197405","drug_name":"Betamethasone Dipropionate 0.05 % OINTMENT [Betamethasone Dipropionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197407","drug_name":"Betamethasone Valerate 0.1 % CREAM [Betamethasone Valerate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197408","drug_name":"Betamethasone Valerate 0.1 % LOTION [Betamethasone Valerate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197409","drug_name":"Betamethasone Valerate 0.1 % OINTMENT [Betamethasone Valerate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197411","drug_name":"Bromocriptine Mesylate 2.5 MG TAB [Bromocriptine Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197412","drug_name":"Bromocriptine Mesylate 5 MG CAP [Bromocriptine Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197417","drug_name":"Bumetanide 0.5 MG TAB [Bumetanide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197418","drug_name":"Bumetanide 1 MG TAB [Bumetanide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197419","drug_name":"Bumetanide 2 MG TAB [Bumetanide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197426","drug_name":"Butalbital-Acetaminophen 50-325 MG TAB [Butalbital-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197433","drug_name":"Calcium Acetate 667 MG TAB [Calcium Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197442","drug_name":"carBAMazepine 200 MG CHEW TAB [carBAMazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197443","drug_name":"Carbidopa-Levodopa 10-100 MG TAB [Carbidopa-Levodopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197444","drug_name":"Carbidopa-Levodopa 25-100 MG TAB [Carbidopa-Levodopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197445","drug_name":"Carbidopa-Levodopa 25-250 MG TAB [Carbidopa-Levodopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197446","drug_name":"Carisoprodol 350 MG TAB [Carisoprodol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197449","drug_name":"Cefaclor 500 MG CAP [Cefaclor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197452","drug_name":"Cefprozil 250 MG TAB [Cefprozil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197453","drug_name":"Cefprozil 500 MG TAB [Cefprozil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197464","drug_name":"Clorazepate Dipotassium 15 MG TAB [Clorazepate Dipotassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197465","drug_name":"Clorazepate Dipotassium 3.75 MG TAB [Clorazepate Dipotassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197466","drug_name":"Clorazepate Dipotassium 7.5 MG TAB [Clorazepate Dipotassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197499","drug_name":"Chlorthalidone 25 MG TAB [Chlorthalidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197500","drug_name":"Chlorthalidone 50 MG TAB [Chlorthalidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197502","drug_name":"Chlorzoxazone 500 MG TAB [Chlorzoxazone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197506","drug_name":"Cimetidine 300 MG TAB [Cimetidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197507","drug_name":"Cimetidine 400 MG TAB [Cimetidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197508","drug_name":"Cimetidine 800 MG TAB [Cimetidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197511","drug_name":"Ciprofloxacin HCl 250 MG TAB [Ciprofloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197512","drug_name":"Ciprofloxacin HCl 750 MG TAB [Ciprofloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197516","drug_name":"Clarithromycin 250 MG TAB [Clarithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197517","drug_name":"Clarithromycin 500 MG TAB [Clarithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197518","drug_name":"Clindamycin HCl 150 MG CAP [Clindamycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197519","drug_name":"Clindamycin Phosphate 1 % LOTION [Clindamycin Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197520","drug_name":"Clocortolone Pivalate 0.1 % CREAM [Clocortolone Pivalate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197527","drug_name":"clonazePAM 0.5 MG TAB [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197528","drug_name":"clonazePAM 1 MG TAB [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197529","drug_name":"clonazePAM 2 MG TAB [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197535","drug_name":"cloZAPine 100 MG TAB [cloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197536","drug_name":"cloZAPine 25 MG TAB [cloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197541","drug_name":"Colchicine 0.6 MG TAB [Colchicine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197549","drug_name":"Cyclophosphamide 25 MG TAB [Cyclophosphamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197550","drug_name":"Cyclophosphamide 50 MG TAB [Cyclophosphamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197551","drug_name":"cycloSERINE 250 MG CAP [cycloSERINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197552","drug_name":"SandIMMUNE 100 MG CAP [SandIMMUNE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197553","drug_name":"CycloSPORINE 25 MG CAP [CycloSPORINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197554","drug_name":"Danazol 100 MG CAP [Danazol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197555","drug_name":"Danazol 200 MG CAP [Danazol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197556","drug_name":"Danazol 50 MG CAP [Danazol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197557","drug_name":"Dapsone 100 MG TAB [Dapsone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197558","drug_name":"Dapsone 25 MG TAB [Dapsone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197574","drug_name":"Desoximetasone 0.25 % CREAM [Desoximetasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197575","drug_name":"Desoximetasone 0.25 % OINTMENT [Desoximetasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197577","drug_name":"dexAMETHasone 0.5 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197579","drug_name":"dexAMETHasone 1 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197580","drug_name":"dexAMETHasone 1.5 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197581","drug_name":"dexAMETHasone 2 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197582","drug_name":"dexAMETHasone 4 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197583","drug_name":"dexAMETHasone 6 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197589","drug_name":"diazePAM 10 MG TAB [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197590","drug_name":"diazePAM 2 MG TAB [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197591","drug_name":"diazePAM 5 MG TAB [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197593","drug_name":"Diazoxide 50 MG/ML SUSPENSION [Diazoxide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197594","drug_name":"Dichlorphenamide 50 MG TAB [Dichlorphenamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197595","drug_name":"Dicloxacillin Sodium 250 MG CAP [Dicloxacillin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197596","drug_name":"Dicloxacillin Sodium 500 MG CAP [Dicloxacillin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197603","drug_name":"Diflunisal 500 MG TAB [Diflunisal]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197604","drug_name":"Digoxin 125 MCG TAB [Digoxin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197606","drug_name":"Digoxin 250 MCG TAB [Digoxin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197622","drug_name":"Dipyridamole 50 MG TAB [Dipyridamole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197623","drug_name":"Disulfiram 250 MG TAB [Disulfiram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197624","drug_name":"Disulfiram 500 MG TAB [Disulfiram]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197625","drug_name":"Doxazosin Mesylate 1 MG TAB [Doxazosin Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197626","drug_name":"Doxazosin Mesylate 2 MG TAB [Doxazosin Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197627","drug_name":"Doxazosin Mesylate 4 MG TAB [Doxazosin Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197628","drug_name":"Doxazosin Mesylate 8 MG TAB [Doxazosin Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197634","drug_name":"Dronabinol 10 MG CAP [Dronabinol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197635","drug_name":"Dronabinol 2.5 MG CAP [Dronabinol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197636","drug_name":"Dronabinol 5 MG CAP [Dronabinol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197650","drug_name":"Erythromycin Base 500 MG TAB [Erythromycin Base]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197653","drug_name":"Estazolam 1 MG TAB [Estazolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197654","drug_name":"Estazolam 2 MG TAB [Estazolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197657","drug_name":"Estradiol 0.5 MG TAB [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197658","drug_name":"Estradiol 1 MG TAB [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197659","drug_name":"Estradiol 2 MG TAB [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197682","drug_name":"Ethosuximide 250 MG CAP [Ethosuximide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197684","drug_name":"Etodolac 200 MG CAP [Etodolac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197685","drug_name":"Etodolac 300 MG CAP [Etodolac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197686","drug_name":"Etodolac 400 MG TAB [Etodolac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197687","drug_name":"Etoposide 50 MG CAP [Etoposide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197696","drug_name":"fentaNYL 75 MCG/HR PATCH 72HR [fentaNYL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197698","drug_name":"Fluconazole 100 MG TAB [Fluconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197699","drug_name":"Fluconazole 150 MG TAB [Fluconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197700","drug_name":"Fluconazole 200 MG TAB [Fluconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197701","drug_name":"Fluconazole 50 MG TAB [Fluconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197702","drug_name":"Flucytosine 250 MG CAP [Flucytosine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197703","drug_name":"Flucytosine 500 MG CAP [Flucytosine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197724","drug_name":"Flurbiprofen 100 MG TAB [Flurbiprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197730","drug_name":"Furosemide 10 MG/ML SOLUTION [Furosemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197732","drug_name":"Furosemide 80 MG TAB [Furosemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197735","drug_name":"Gentamicin Sulfate 0.1 % CREAM [Gentamicin Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197737","drug_name":"glyBURIDE 1.25 MG TAB [glyBURIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197738","drug_name":"Glycopyrrolate 2 MG TAB [Glycopyrrolate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197739","drug_name":"Glycopyrrolate 2 MG TAB [Glycopyrrolate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197745","drug_name":"guanFACINE HCl 1 MG TAB [guanFACINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197746","drug_name":"guanFACINE HCl 2 MG TAB [guanFACINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197754","drug_name":"Haloperidol 20 MG TAB [Haloperidol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197770","drug_name":"hydroCHLOROthiazide 50 MG TAB [hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197782","drug_name":"Hydrocortisone 10 MG TAB [Hydrocortisone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197783","drug_name":"Hydrocortisone 20 MG TAB [Hydrocortisone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197785","drug_name":"Hydrocortisone 2.5 % LOTION [Hydrocortisone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197787","drug_name":"Hydrocortisone 5 MG TAB [Hydrocortisone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197797","drug_name":"Hydroxyurea 500 MG CAP [Hydroxyurea]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197805","drug_name":"Ibuprofen 400 MG TAB [Ibuprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197806","drug_name":"Ibuprofen 600 MG TAB [Ibuprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197807","drug_name":"Ibuprofen 800 MG TAB [Ibuprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197815","drug_name":"Indapamide 1.25 MG TAB [Indapamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197816","drug_name":"Indapamide 2.5 MG TAB [Indapamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197817","drug_name":"Indomethacin 25 MG CAP [Indomethacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197818","drug_name":"Indomethacin 50 MG CAP [Indomethacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197819","drug_name":"Indomethacin 50 MG SUPPOS [Indomethacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197832","drug_name":"Isoniazid 300 MG TAB [Isoniazid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197839","drug_name":"Isosorbide Dinitrate 30 MG TAB [Isosorbide Dinitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197843","drug_name":"ISOtretinoin 10 MG CAP [ISOtretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197844","drug_name":"ISOtretinoin 20 MG CAP [ISOtretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197845","drug_name":"ISOtretinoin 40 MG CAP [ISOtretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197853","drug_name":"Ketoconazole 200 MG TAB [Ketoconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197860","drug_name":"Leucovorin Calcium 10 MG TAB [Leucovorin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197861","drug_name":"Leucovorin Calcium 15 MG TAB [Leucovorin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197862","drug_name":"Leucovorin Calcium 25 MG TAB [Leucovorin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197863","drug_name":"Leucovorin Calcium 5 MG TAB [Leucovorin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197884","drug_name":"Lisinopril 40 MG TAB [Lisinopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197885","drug_name":"Lisinopril-hydroCHLOROthiazide 10-12.5 MG TAB [Lisinopril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197886","drug_name":"Lisinopril-hydroCHLOROthiazide 20-12.5 MG TAB [Lisinopril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197887","drug_name":"Lisinopril-hydroCHLOROthiazide 20-25 MG TAB [Lisinopril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197889","drug_name":"Lithium Carbonate 300 MG CAP [Lithium Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197890","drug_name":"Lithium Carbonate 300 MG TAB [Lithium Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197891","drug_name":"Lithium Carbonate ER 300 MG TAB ER [Lithium Carbonate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197892","drug_name":"Lithium Carbonate ER 450 MG TAB ER [Lithium Carbonate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197893","drug_name":"Lithium Carbonate 600 MG CAP [Lithium Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197900","drug_name":"LORazepam 0.5 MG TAB [LORazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197901","drug_name":"LORazepam 1 MG TAB [LORazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197902","drug_name":"LORazepam 2 MG TAB [LORazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"197903","drug_name":"Lovastatin 10 MG TAB [Lovastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197904","drug_name":"Lovastatin 20 MG TAB [Lovastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197905","drug_name":"Lovastatin 40 MG TAB [Lovastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197928","drug_name":"Meprobamate 200 MG TAB [Meprobamate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197929","drug_name":"Meprobamate 400 MG TAB [Meprobamate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197931","drug_name":"Mercaptopurine 50 MG TAB [Mercaptopurine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197935","drug_name":"Metaxalone 400 MG TAB [Metaxalone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197939","drug_name":"methazolAMIDE 25 MG TAB [methazolAMIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197940","drug_name":"methazolAMIDE 50 MG TAB [methazolAMIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197941","drug_name":"methIMAzole 10 MG TAB [methIMAzole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197942","drug_name":"methIMAzole 5 MG TAB [methIMAzole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197943","drug_name":"Methocarbamol 500 MG TAB [Methocarbamol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197944","drug_name":"Methocarbamol 750 MG TAB [Methocarbamol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197949","drug_name":"Methsuximide 300 MG CAP [Methsuximide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197956","drug_name":"Methyldopa 250 MG TAB [Methyldopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197958","drug_name":"Methyldopa 500 MG TAB [Methyldopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197971","drug_name":"methylPREDNISolone 32 MG TAB [methylPREDNISolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197973","drug_name":"methylPREDNISolone 8 MG TAB [methylPREDNISolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197978","drug_name":"metOLazone 10 MG TAB [metOLazone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197979","drug_name":"metOLazone 2.5 MG TAB [metOLazone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197984","drug_name":"Minocycline HCl 100 MG CAP [Minocycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197985","drug_name":"Minocycline HCl 50 MG CAP [Minocycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197986","drug_name":"Minoxidil 10 MG TAB [Minoxidil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"197987","drug_name":"Minoxidil 2.5 MG TAB [Minoxidil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198006","drug_name":"Nadolol 20 MG TAB [Nadolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198007","drug_name":"Nadolol 40 MG TAB [Nadolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198008","drug_name":"Nadolol 80 MG TAB [Nadolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198012","drug_name":"Naproxen 375 MG TAB [Naproxen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198013","drug_name":"Naproxen 250 MG TAB [Naproxen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198014","drug_name":"Naproxen 500 MG TAB [Naproxen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198032","drug_name":"NIFEdipine 10 MG CAP [NIFEdipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198033","drug_name":"NIFEdipine 20 MG CAP [NIFEdipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198034","drug_name":"NIFEdipine ER 30 MG TAB ER 24H [NIFEdipine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198035","drug_name":"NIFEdipine ER 60 MG TAB ER 24H [NIFEdipine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198036","drug_name":"NIFEdipine ER 90 MG TAB ER 24H [NIFEdipine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198037","drug_name":"NiMODipine 30 MG CAP [NiMODipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198038","drug_name":"Nitroglycerin 0.3 MG SL TAB [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198039","drug_name":"Nitroglycerin 0.4 MG SL TAB [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198040","drug_name":"Nitroglycerin 0.6 MG SL TAB [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198041","drug_name":"Nizatidine 300 MG CAP [Nizatidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198045","drug_name":"Nortriptyline HCl 10 MG CAP [Nortriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198046","drug_name":"Nortriptyline HCl 50 MG CAP [Nortriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198047","drug_name":"Nortriptyline HCl 75 MG CAP [Nortriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198049","drug_name":"Ofloxacin 300 MG TAB [Ofloxacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198050","drug_name":"Ofloxacin 400 MG TAB [Ofloxacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198052","drug_name":"Ondansetron HCl 4 MG TAB [Ondansetron HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198057","drug_name":"Oxazepam 10 MG CAP [Oxazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"198059","drug_name":"Oxazepam 30 MG CAP [Oxazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"198070","drug_name":"penicillAMINE 250 MG CAP [penicillAMINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198071","drug_name":"penicillAMINE 250 MG TAB [penicillAMINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198075","drug_name":"Perphenazine 16 MG TAB [Perphenazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198076","drug_name":"Perphenazine 2 MG TAB [Perphenazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198077","drug_name":"Perphenazine 4 MG TAB [Perphenazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198078","drug_name":"Perphenazine 8 MG TAB [Perphenazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198083","drug_name":"PHENobarbital 100 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198086","drug_name":"PHENobarbital 16.2 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198089","drug_name":"PHENobarbital 60 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198103","drug_name":"Pimozide 2 MG TAB [Pimozide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198104","drug_name":"Pindolol 10 MG TAB [Pindolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198105","drug_name":"Pindolol 5 MG TAB [Pindolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198107","drug_name":"Piroxicam 10 MG CAP [Piroxicam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198108","drug_name":"Piroxicam 20 MG CAP [Piroxicam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198116","drug_name":"Potassium Chloride ER 20 MEQ TAB ER [Potassium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198140","drug_name":"Praziquantel 600 MG TAB [Praziquantel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198141","drug_name":"Prazosin HCl 5 MG CAP [Prazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198144","drug_name":"predniSONE 1 MG TAB [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198145","drug_name":"predniSONE 10 MG TAB [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198146","drug_name":"predniSONE 2.5 MG TAB [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198148","drug_name":"predniSONE 50 MG TAB [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198150","drug_name":"Primidone 50 MG TAB [Primidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198152","drug_name":"Probenecid 500 MG TAB [Probenecid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198153","drug_name":"Colchicine-Probenecid 0.5-500 MG TAB [Colchicine-Probenecid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198159","drug_name":"Prochlorperazine 25 MG SUPPOS [Prochlorperazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198175","drug_name":"Propylthiouracil 50 MG TAB [Propylthiouracil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198181","drug_name":"Pyrazinamide 500 MG TAB [Pyrazinamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198182","drug_name":"Pyrimethamine 25 MG TAB [Pyrimethamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198188","drug_name":"Ramipril 2.5 MG CAP [Ramipril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198189","drug_name":"Ramipril 5 MG CAP [Ramipril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198200","drug_name":"Rifabutin 150 MG CAP [Rifabutin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198201","drug_name":"rifAMPin 150 MG CAP [rifAMPin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198202","drug_name":"rifAMPin 300 MG CAP [rifAMPin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198211","drug_name":"Simvastatin 40 MG TAB [Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198222","drug_name":"Spironolactone 100 MG TAB [Spironolactone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198223","drug_name":"Spironolactone 50 MG TAB [Spironolactone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198224","drug_name":"Spironolactone-HCTZ 25-25 MG TAB [Spironolactone-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198228","drug_name":"sulfADIAZINE 500 MG TAB [sulfADIAZINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198232","drug_name":"sulfaSALAzine 500 MG TAB [sulfaSALAzine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198238","drug_name":"Sulindac 150 MG TAB [Sulindac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198239","drug_name":"Sulindac 200 MG TAB [Sulindac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198240","drug_name":"Tamoxifen Citrate 10 MG TAB [Tamoxifen Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198241","drug_name":"Temazepam 15 MG CAP [Temazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"198242","drug_name":"Temazepam 30 MG CAP [Temazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"198245","drug_name":"Terconazole 80 MG SUPPOS [Terconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198250","drug_name":"Tetracycline HCl 250 MG CAP [Tetracycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198252","drug_name":"Tetracycline HCl 500 MG CAP [Tetracycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198270","drug_name":"Thioridazine HCl 100 MG TAB [Thioridazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198274","drug_name":"Thioridazine HCl 25 MG TAB [Thioridazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198275","drug_name":"Thioridazine HCl 50 MG TAB [Thioridazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198284","drug_name":"Timolol Maleate 10 MG TAB [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198285","drug_name":"Timolol Maleate 20 MG TAB [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198286","drug_name":"Timolol Maleate 5 MG TAB [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198287","drug_name":"Tiopronin 100 MG TAB [Tiopronin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198300","drug_name":"Tretinoin 0.1 % CREAM [Tretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198316","drug_name":"Triamterene-HCTZ 37.5-25 MG CAP [Triamterene-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198317","drug_name":"Triazolam 0.125 MG TAB [Triazolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"198318","drug_name":"Triazolam 0.25 MG TAB [Triazolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"198322","drug_name":"Trifluoperazine HCl 1 MG TAB [Trifluoperazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198323","drug_name":"Trifluoperazine HCl 10 MG TAB [Trifluoperazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198324","drug_name":"Trifluoperazine HCl 2 MG TAB [Trifluoperazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198325","drug_name":"Trifluoperazine HCl 5 MG TAB [Trifluoperazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198332","drug_name":"Trimethoprim 100 MG TAB [Trimethoprim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198334","drug_name":"Sulfamethoxazole-Trimethoprim 400-80 MG TAB [Sulfamethoxazole-Trimethoprim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198335","drug_name":"Sulfamethoxazole-Trimethoprim 800-160 MG TAB [Sulfamethoxazole-Trimethoprim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198352","drug_name":"Zidovudine 100 MG CAP [Zidovudine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198358","drug_name":"Felbamate 400 MG TAB [Felbamate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198359","drug_name":"Felbamate 600 MG TAB [Felbamate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198365","drug_name":"Prochlorperazine Maleate 10 MG TAB [Prochlorperazine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198369","drug_name":"Torsemide 10 MG TAB [Torsemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198370","drug_name":"Torsemide 100 MG TAB [Torsemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198371","drug_name":"Torsemide 20 MG TAB [Torsemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198372","drug_name":"Torsemide 5 MG TAB [Torsemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198377","drug_name":"Tacrolimus 1 MG CAP [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198378","drug_name":"Tacrolimus 5 MG CAP [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198382","drug_name":"Famciclovir 500 MG TAB [Famciclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198427","drug_name":"lamoTRIgine 100 MG TAB [lamoTRIgine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198428","drug_name":"lamoTRIgine 150 MG TAB [lamoTRIgine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"198429","drug_name":"lamoTRIgine 200 MG TAB [lamoTRIgine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1986331","drug_name":"Ingrezza 80 MG CAP [Ingrezza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1986354","drug_name":"Fiasp 100 UNIT/ML SOLUTION [Fiasp]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1986356","drug_name":"Fiasp FlexTouch 100 UNIT/ML SOLN PEN [Fiasp FlexTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1986791","drug_name":"Aurovela Fe 1.5/30 1.5-30 MG-MCG TAB [Aurovela Fe 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1987734","drug_name":"Bosulif 400 MG TAB [Bosulif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988308","drug_name":"Tiadylt ER 120 MG CAP ER 24H [Tiadylt ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988311","drug_name":"Tiadylt ER 180 MG CAP ER 24H [Tiadylt ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988316","drug_name":"Tiadylt ER 240 MG CAP ER 24H [Tiadylt ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988319","drug_name":"Tiadylt ER 300 MG CAP ER 24H [Tiadylt ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988324","drug_name":"Tiadylt ER 360 MG CAP ER 24H [Tiadylt ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988330","drug_name":"Tiadylt ER 420 MG CAP ER 24H [Tiadylt ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988399","drug_name":"Vyzulta 0.024 % SOLUTION [Vyzulta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988657","drug_name":"Prevymis 240 MG/12ML SOLUTION [Prevymis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988661","drug_name":"Prevymis 480 MG/24ML SOLUTION [Prevymis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988671","drug_name":"Prevymis 240 MG TAB [Prevymis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988675","drug_name":"Prevymis 480 MG TAB [Prevymis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988768","drug_name":"Alunbrig 90 MG TAB [Alunbrig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988772","drug_name":"Alunbrig 180 MG TAB [Alunbrig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1988786","drug_name":"Alunbrig 90 & 180 MG TAB THPK [Alunbrig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989085","drug_name":"Tracleer 32 MG TAB SOL [Tracleer]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989506","drug_name":"Juluca 50-25 MG TAB [Juluca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989507","drug_name":"Hailey 24 Fe 1-20 MG-MCG(24) TAB [Hailey 24 Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989804","drug_name":"Hemlibra 30 MG/ML SOLUTION [Hemlibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989811","drug_name":"Hemlibra 105 MG/0.7ML SOLUTION [Hemlibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989815","drug_name":"Hemlibra 60 MG/0.4ML SOLUTION [Hemlibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989817","drug_name":"Hemlibra 150 MG/ML SOLUTION [Hemlibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1989873","drug_name":"Hailey FE 1/20 1-20 MG-MCG TAB [Hailey FE 1/20]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199055","drug_name":"metroNIDAZOLE 375 MG CAP [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199058","drug_name":"Mycophenolate Mofetil 250 MG CAP [Mycophenolate Mofetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1990745","drug_name":"Diskets 40 MG TAB SOL [Diskets]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"199119","drug_name":"Omeprazole 10 MG CAP DR [Omeprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199123","drug_name":"Bicalutamide 50 MG TAB [Bicalutamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1991329","drug_name":"Auvi-Q 0.1 MG/0.1ML SOLN A-INJ [Auvi-Q]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199147","drug_name":"lamiVUDine 150 MG TAB [lamiVUDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199148","drug_name":"lamiVUDine 10 MG/ML SOLUTION [lamiVUDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199149","drug_name":"Acarbose 50 MG TAB [Acarbose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199150","drug_name":"Acarbose 100 MG TAB [Acarbose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199159","drug_name":"Tretinoin 10 MG CAP [Tretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199164","drug_name":"PHENobarbital 97.2 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199167","drug_name":"PHENobarbital 32.4 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199168","drug_name":"PHENobarbital 64.8 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199192","drug_name":"Famciclovir 125 MG TAB [Famciclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199193","drug_name":"Famciclovir 250 MG TAB [Famciclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199206","drug_name":"Riluzole 50 MG TAB [Riluzole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199224","drug_name":"Anastrozole 1 MG TAB [Anastrozole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1992281","drug_name":"Clobetasol Prop Emollient Base 0.05 % CREAM [Clobetasol Prop Emollient Base]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1992303","drug_name":"Timolol Maleate 0.5 % SOLUTION [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1992428","drug_name":"Eliquis DVT/PE Starter Pack 5 MG TAB THPK [Eliquis DVT/PE Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199245","drug_name":"Glimepiride 1 MG TAB [Glimepiride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199246","drug_name":"Glimepiride 2 MG TAB [Glimepiride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199247","drug_name":"Glimepiride 4 MG TAB [Glimepiride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1992873","drug_name":"Rhopressa 0.02 % SOLUTION [Rhopressa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1993222","drug_name":"Benznidazole 12.5 MG TAB [Benznidazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199351","drug_name":"Trandolapril 2 MG TAB [Trandolapril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199352","drug_name":"Trandolapril 4 MG TAB [Trandolapril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199353","drug_name":"Trandolapril 1 MG TAB [Trandolapril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199369","drug_name":"Sodium Phenylbutyrate 500 MG TAB [Sodium Phenylbutyrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199376","drug_name":"Potassium Citrate ER 5 MEQ (540 MG) TAB ER [Potassium Citrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199378","drug_name":"carBAMazepine ER 100 MG TAB ER 12H [carBAMazepine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199381","drug_name":"Potassium Citrate ER 10 MEQ (1080 MG) TAB ER [Potassium Citrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199387","drug_name":"risperiDONE 1 MG/ML SOLUTION [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199390","drug_name":"Etodolac 500 MG TAB [Etodolac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199422","drug_name":"Nevirapine 200 MG TAB [Nevirapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1994362","drug_name":"Imbruvica 70 MG CAP [Imbruvica]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199450","drug_name":"cloBAZam 10 MG TAB [cloBAZam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1994750","drug_name":"Xepi 1 % CREAM [Xepi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1994758","drug_name":"VyLibra 0.25-35 MG-MCG TAB [VyLibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1994764","drug_name":"Tri-VyLibra 0.18/0.215/0.25 MG-35 MCG TAB [Tri-VyLibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199519","drug_name":"Tinidazole 500 MG TAB [Tinidazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199521","drug_name":"Vigabatrin 500 MG TAB [Vigabatrin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1995479","drug_name":"Zenpep 40000-126000 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199592","drug_name":"Tetrabenazine 25 MG TAB [Tetrabenazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1996189","drug_name":"Sublocade 100 MG/0.5ML SOLN PRSYR [Sublocade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1996193","drug_name":"Sublocade 300 MG/1.5ML SOLN PRSYR [Sublocade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199655","drug_name":"Zafirlukast 20 MG TAB [Zafirlukast]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199663","drug_name":"Zidovudine 300 MG TAB [Zidovudine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199672","drug_name":"Albendazole 200 MG TAB [Albendazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199689","drug_name":"Acitretin 10 MG CAP [Acitretin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199690","drug_name":"Acitretin 25 MG CAP [Acitretin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199703","drug_name":"Cabergoline 0.5 MG TAB [Cabergoline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1998772","drug_name":"Qvar RediHaler 80 MCG/ACT AERO BA [Qvar RediHaler]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1998774","drug_name":"Qvar RediHaler 40 MCG/ACT AERO BA [Qvar RediHaler]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199884","drug_name":"levoFLOXacin 250 MG TAB [levoFLOXacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199885","drug_name":"levoFLOXacin 500 MG TAB [levoFLOXacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199888","drug_name":"Topiramate 25 MG TAB [Topiramate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199889","drug_name":"Topiramate 100 MG TAB [Topiramate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199890","drug_name":"Topiramate 200 MG TAB [Topiramate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"199903","drug_name":"hydroCHLOROthiazide 12.5 MG CAP [hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1999314","drug_name":"Siklos 100 MG TAB [Siklos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1999316","drug_name":"Siklos 1000 MG TAB [Siklos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1999389","drug_name":"Symdeko 100-150 & 150 MG TAB THPK [Symdeko]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1999587","drug_name":"Erleada 60 MG TAB [Erleada]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1999673","drug_name":"Biktarvy 50-200-25 MG TAB [Biktarvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"1999724","drug_name":"Tydemy 3-0.03-0.451 MG TAB [Tydemy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000007","drug_name":"Glatopa 40 MG/ML SOLN PRSYR [Glatopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000019","drug_name":"Imbruvica 140 MG TAB [Imbruvica]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000023","drug_name":"Imbruvica 280 MG TAB [Imbruvica]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000027","drug_name":"Imbruvica 420 MG TAB [Imbruvica]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000127","drug_name":"Vancomycin HCl 25 MG/ML RECON SOLN [Vancomycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000134","drug_name":"Vancomycin HCl 250 MG/5ML RECON SOLN [Vancomycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200031","drug_name":"Carvedilol 6.25 MG TAB [Carvedilol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200032","drug_name":"Carvedilol 12.5 MG TAB [Carvedilol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200033","drug_name":"Carvedilol 25 MG TAB [Carvedilol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200034","drug_name":"OLANZapine 2.5 MG TAB [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200060","drug_name":"Mycophenolate Mofetil 500 MG TAB [Mycophenolate Mofetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200064","drug_name":"Letrozole 2.5 MG TAB [Letrozole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2000695","drug_name":"Kelnor 1/50 1-50 MG-MCG TAB [Kelnor 1/50]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200082","drug_name":"lamiVUDine-Zidovudine 150-300 MG TAB [lamiVUDine-Zidovudine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200094","drug_name":"Irbesartan 75 MG TAB [Irbesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200095","drug_name":"Irbesartan 150 MG TAB [Irbesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200096","drug_name":"Irbesartan 300 MG TAB [Irbesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200131","drug_name":"CarBAMazepine ER 300 MG CAP ER 12H [CarBAMazepine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2001319","drug_name":"Roflumilast 250 MCG TAB [Roflumilast]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200132","drug_name":"Acarbose 25 MG TAB [Acarbose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200133","drug_name":"carBAMazepine ER 200 MG CAP ER 12H [carBAMazepine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2001424","drug_name":"Efavirenz-lamiVUDine-Tenofovir 400-300-300 MG TAB [Efavirenz-lamiVUDine-Tenofovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2001506","drug_name":"Subvenite 150 MG TAB [Subvenite]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2001508","drug_name":"Subvenite 25 MG TAB [Subvenite]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2001565","drug_name":"Methylphenidate HCl ER (OSM) 27 MG TAB ER [Methylphenidate HCl ER (OSM)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2001566","drug_name":"Methylphenidate HCl ER (OSM) 36 MG TAB ER [Methylphenidate HCl ER (OSM)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2001568","drug_name":"Methylphenidate HCl ER (OSM) 54 MG TAB ER [Methylphenidate HCl ER (OSM)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2001751","drug_name":"Jaimiess 0.15-0.03 &0.01 MG TAB [Jaimiess]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2001756","drug_name":"Volnea 0.15-0.02/0.01 MG (21/5) TAB [Volnea]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200193","drug_name":"ZOLMitriptan 2.5 MG TAB [ZOLMitriptan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200194","drug_name":"ZOLMitriptan 5 MG TAB [ZOLMitriptan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200220","drug_name":"Tolcapone 100 MG TAB [Tolcapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200224","drug_name":"Montelukast Sodium 10 MG TAB [Montelukast Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2002419","drug_name":"Insulin Glargine Max SoloStar 300 UNIT/ML SOLN PEN [Insulin Glargine Max SoloStar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2002420","drug_name":"Toujeo Max SoloStar 300 UNIT/ML SOLN PEN [Toujeo Max SoloStar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200251","drug_name":"Phospha 250 Neutral 155-852-130 MG TAB [Phospha 250 Neutral]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200256","drug_name":"Repaglinide 1 MG TAB [Repaglinide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200257","drug_name":"Repaglinide 0.5 MG TAB [Repaglinide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200258","drug_name":"Repaglinide 2 MG TAB [Repaglinide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2002719","drug_name":"Tasigna 50 MG CAP [Tasigna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200284","drug_name":"Valsartan-Hydrochlorothiazide 80-12.5 MG TAB [Valsartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200285","drug_name":"Valsartan-Hydrochlorothiazide 160-12.5 MG TAB [Valsartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200311","drug_name":"Fenofibrate 67 MG CAP [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003255","drug_name":"Cimduo 300-300 MG TAB [Cimduo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200327","drug_name":"Capecitabine 150 MG TAB [Capecitabine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200328","drug_name":"Capecitabine 500 MG TAB [Capecitabine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200329","drug_name":"Omeprazole 40 MG CAP DR [Omeprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003375","drug_name":"Lo-Zumandimine 3-0.02 MG TAB [Lo-Zumandimine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200345","drug_name":"Simvastatin 80 MG TAB [Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200346","drug_name":"Cefdinir 300 MG CAP [Cefdinir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"200371","drug_name":"Citalopram Hydrobromide 20 MG TAB [Citalopram Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003757","drug_name":"Kevzara 150 MG/1.14ML SOLN A-INJ [Kevzara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003767","drug_name":"Kevzara 200 MG/1.14ML SOLN A-INJ [Kevzara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003796","drug_name":"Subvenite 100 MG TAB [Subvenite]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003797","drug_name":"Subvenite Starter Kit-Green 84 x 25 MG & 14x100 MG KIT [Subvenite Starter Kit-Green]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003798","drug_name":"Subvenite Starter Kit-Orange 42 x 25 MG & 7 x 100 MG KIT [Subvenite Starter Kit-Orange]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003799","drug_name":"Subvenite Starter Kit-Blue 35 x 25 MG KIT [Subvenite Starter Kit-Blue]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2003801","drug_name":"Subvenite 200 MG TAB [Subvenite]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"201185","drug_name":"Sulfamylon 85 MG/GM CREAM [Sulfamylon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"201708","drug_name":"Marplan 10 MG TAB [Marplan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"201737","drug_name":"Zarontin 250 MG CAP [Zarontin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"201747","drug_name":"Mysoline 250 MG TAB [Mysoline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"202301","drug_name":"Premarin 1.25 MG TAB [Premarin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"203088","drug_name":"Ketoconazole 2 % CREAM [Ketoconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"204119","drug_name":"Malathion 0.5 % LOTION [Malathion]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"204135","drug_name":"Desonide 0.05 % OINTMENT [Desonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"204423","drug_name":"Neomycin-Polymyxin-HC 1 % SOLUTION [Neomycin-Polymyxin-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2044355","drug_name":"Jynarque 15 MG TAB [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2044357","drug_name":"Jynarque 30 MG TAB [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2044928","drug_name":"Tavalisse 100 MG TAB [Tavalisse]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2044932","drug_name":"Tavalisse 150 MG TAB [Tavalisse]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2044967","drug_name":"Jynarque 60 & 30 MG TAB THPK [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2044969","drug_name":"Jynarque 45 & 15 MG TAB THPK [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2044971","drug_name":"Jynarque 90 & 30 MG TAB THPK [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2045196","drug_name":"Zumandimine 3-0.03 MG TAB [Zumandimine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2045201","drug_name":"Flac 0.01 % OIL [Flac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2045382","drug_name":"Arnuity Ellipta 50 MCG/ACT AER POW BA [Arnuity Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2045493","drug_name":"Gilenya 0.25 MG CAP [Gilenya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2045638","drug_name":"Aimovig 70 MG/ML SOLN A-INJ [Aimovig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2045958","drug_name":"Doptelet 20 MG TAB [Doptelet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2045959","drug_name":"Doptelet 20 MG TAB [Doptelet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2045961","drug_name":"Doptelet 20 MG TAB [Doptelet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2046370","drug_name":"Palynziq 10 MG/0.5ML SOLN PRSYR [Palynziq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2046376","drug_name":"Palynziq 2.5 MG/0.5ML SOLN PRSYR [Palynziq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2046380","drug_name":"Palynziq 20 MG/ML SOLN PRSYR [Palynziq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2046585","drug_name":"Yonsa 125 MG TAB [Yonsa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2046591","drug_name":"Lofexidine HCl 0.18 MG TAB [Lofexidine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2046597","drug_name":"Lucemyra 0.18 MG TAB [Lucemyra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047247","drug_name":"Olumiant 2 MG TAB [Olumiant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047596","drug_name":"Retacrit 10000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047602","drug_name":"Retacrit 2000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047608","drug_name":"Retacrit 3000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047614","drug_name":"Retacrit 4000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047623","drug_name":"Retacrit 40000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047639","drug_name":"Lokelma 5 GM PACKET [Lokelma]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047760","drug_name":"Hailey 1.5/30 1.5-30 MG-MCG TAB [Hailey 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047868","drug_name":"Vigadrone 500 MG PACKET [Vigadrone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2047882","drug_name":"Testosterone Cypionate 200 MG/ML SOLUTION [Testosterone Cypionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2048025","drug_name":"Fulphila 6 MG/0.6ML SOLN PRSYR [Fulphila]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"204844","drug_name":"Azithromycin 600 MG TAB [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2048568","drug_name":"Xeljanz 10 MG TAB [Xeljanz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049121","drug_name":"Braftovi 75 MG CAP [Braftovi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049133","drug_name":"Mektovi 15 MG TAB [Mektovi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049264","drug_name":"Iclevia 0.15-0.03 MG TAB [Iclevia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049271","drug_name":"Nuplazid 10 MG TAB [Nuplazid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049278","drug_name":"Nuplazid 34 MG CAP [Nuplazid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049343","drug_name":"Aristada Initio 675 MG/2.4ML PRSYR [Aristada Initio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049380","drug_name":"NovoLIN 70/30 FlexPen (70-30) 100 UNIT/ML SUSP PEN [NovoLIN 70/30 FlexPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049677","drug_name":"Symtuza 800-150-200-10 MG TAB [Symtuza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049858","drug_name":"Orilissa 150 MG TAB [Orilissa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049862","drug_name":"Orilissa 200 MG TAB [Orilissa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2049884","drug_name":"Tibsovo 250 MG TAB [Tibsovo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2052064","drug_name":"Incassia 0.35 MG TAB [Incassia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205284","drug_name":"Leflunomide 10 MG TAB [Leflunomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205285","drug_name":"Leflunomide 20 MG TAB [Leflunomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205290","drug_name":"Efavirenz 200 MG CAP [Efavirenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205292","drug_name":"Efavirenz 50 MG CAP [Efavirenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205304","drug_name":"Telmisartan 40 MG TAB [Telmisartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205305","drug_name":"Telmisartan 80 MG TAB [Telmisartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205315","drug_name":"Topiramate 25 MG CAP SPRINK [Topiramate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205316","drug_name":"Topiramate 15 MG CAP SPRINK [Topiramate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205322","drug_name":"Celecoxib 100 MG CAP [Celecoxib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205323","drug_name":"Celecoxib 200 MG CAP [Celecoxib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205324","drug_name":"Modafinil 200 MG TAB [Modafinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"205326","drug_name":"Lisinopril 30 MG TAB [Lisinopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205328","drug_name":"LamiVUDine 100 MG TAB [LamiVUDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205329","drug_name":"Miglitol 25 MG TAB [Miglitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205330","drug_name":"Miglitol 50 MG TAB [Miglitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205331","drug_name":"Miglitol 100 MG TAB [Miglitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2053458","drug_name":"Ilumya 100 MG/ML SOLN PRSYR [Ilumya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2053512","drug_name":"Orkambi 100-125 MG PACKET [Orkambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2053519","drug_name":"Orkambi 150-188 MG PACKET [Orkambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2053927","drug_name":"Lokelma 10 GM PACKET [Lokelma]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054102","drug_name":"Arakoda 100 MG TAB [Arakoda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054157","drug_name":"Lenvima (4 MG Daily Dose) 4 MG CAP THPK [Lenvima (4 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054159","drug_name":"Lenvima (12 MG Daily Dose) 3 x 4 MG CAP THPK [Lenvima (12 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054269","drug_name":"Ingrezza 40 & 80 MG CAP THPK [Ingrezza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054275","drug_name":"Galafold 123 MG CAP [Galafold]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054979","drug_name":"Diacomit 250 MG CAP [Diacomit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054983","drug_name":"Diacomit 500 MG CAP [Diacomit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2054995","drug_name":"Mulpleta 3 MG TAB [Mulpleta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055014","drug_name":"Diacomit 500 MG PACKET [Diacomit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055016","drug_name":"Diacomit 250 MG PACKET [Diacomit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205532","drug_name":"Pulmozyme 2.5 MG/2.5ML SOLUTION [Pulmozyme]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205562","drug_name":"Emcyt 140 MG CAP [Emcyt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055650","drug_name":"Takhzyro 300 MG/2ML SOLUTION [Takhzyro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055672","drug_name":"Perseris 120 MG PRSYR [Perseris]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055676","drug_name":"Perseris 90 MG PRSYR [Perseris]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055815","drug_name":"Delstrigo 100-300-300 MG TAB [Delstrigo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2055989","drug_name":"Annovera 0.013-0.15 MG/24HR RING [Annovera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056466","drug_name":"Tirosint-SOL 25 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056470","drug_name":"Tirosint-SOL 50 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056474","drug_name":"Tirosint-SOL 75 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056478","drug_name":"Tirosint-SOL 88 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056482","drug_name":"Tirosint-SOL 100 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056486","drug_name":"Tirosint-SOL 112 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056490","drug_name":"Tirosint-SOL 125 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056494","drug_name":"Tirosint-SOL 13 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056498","drug_name":"Tirosint-SOL 137 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056502","drug_name":"Tirosint-SOL 150 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056506","drug_name":"Tirosint-SOL 175 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056510","drug_name":"Tirosint-SOL 200 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205669","drug_name":"Maxidex 0.1 % SUSPENSION [Maxidex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056700","drug_name":"Ajovy 225 MG/1.5ML SOLN PRSYR [Ajovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056895","drug_name":"Everolimus 1 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2056897","drug_name":"Zortress 1 MG TAB [Zortress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2057205","drug_name":"Nivestym 300 MCG/0.5ML SOLN PRSYR [Nivestym]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2057212","drug_name":"Nivestym 300 MCG/ML SOLUTION [Nivestym]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2057216","drug_name":"Nivestym 480 MCG/0.8ML SOLN PRSYR [Nivestym]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2057219","drug_name":"Nivestym 480 MCG/1.6ML SOLUTION [Nivestym]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058520","drug_name":"Copiktra 15 MG CAP [Copiktra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058525","drug_name":"Copiktra 25 MG CAP [Copiktra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058877","drug_name":"Emgality 120 MG/ML SOLN A-INJ [Emgality]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2058887","drug_name":"Emgality 120 MG/ML SOLN PRSYR [Emgality]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2058906","drug_name":"Epidiolex 100 MG/ML SOLUTION [Epidiolex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058922","drug_name":"Vizimpro 15 MG TAB [Vizimpro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058926","drug_name":"Vizimpro 30 MG TAB [Vizimpro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058932","drug_name":"Vizimpro 45 MG TAB [Vizimpro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058946","drug_name":"Xolair 150 MG/ML SOLN PRSYR [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058950","drug_name":"Xolair 75 MG/0.5ML SOLN PRSYR [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2058981","drug_name":"Promacta 12.5 MG PACKET [Promacta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2059017","drug_name":"Xarelto 2.5 MG TAB [Xarelto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"205913","drug_name":"Procrit 10000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205918","drug_name":"Procrit 2000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2059189","drug_name":"Arikayce 590 MG/8.4ML SUSPENSION [Arikayce]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205922","drug_name":"Procrit 3000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"205924","drug_name":"Procrit 4000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2059266","drug_name":"Tiglutik 50 MG/10ML SUSPENSION [Tiglutik]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2059280","drug_name":"Nuzyra 150 MG TAB [Nuzyra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2059292","drug_name":"Nuzyra 100 MG RECON SOLN [Nuzyra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206075","drug_name":"Ery-Tab 250 MG TAB DR [Ery-Tab]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206078","drug_name":"Ery-Tab 333 MG TAB DR [Ery-Tab]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206080","drug_name":"Ery-Tab 500 MG TAB DR [Ery-Tab]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206417","drug_name":"Depo-Estradiol 5 MG/ML OIL [Depo-Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206792","drug_name":"Alomide 0.1 % SOLUTION [Alomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206842","drug_name":"Isosorbide Dinitrate 20 MG TAB [Isosorbide Dinitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206880","drug_name":"Accutane 10 MG CAP [Accutane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206883","drug_name":"Accutane 20 MG CAP [Accutane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206902","drug_name":"Accutane 40 MG CAP [Accutane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206905","drug_name":"IBU 400 MG TAB [IBU]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206913","drug_name":"IBU 600 MG TAB [IBU]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"206917","drug_name":"IBU 800 MG TAB [IBU]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207059","drug_name":"Betaseron 0.3 MG KIT [Betaseron]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207100","drug_name":"Natacyn 5 % SUSPENSION [Natacyn]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207194","drug_name":"SandoSTATIN 50 MCG/ML SOLUTION [SandoSTATIN]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207198","drug_name":"SandoSTATIN 100 MCG/ML SOLUTION [SandoSTATIN]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207200","drug_name":"SandoSTATIN 500 MCG/ML SOLUTION [SandoSTATIN]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207273","drug_name":"Nitro-Bid 2 % OINTMENT [Nitro-Bid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207369","drug_name":"Cuprimine 250 MG CAP [Cuprimine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207373","drug_name":"Lysodren 500 MG TAB [Lysodren]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207478","drug_name":"Mysoline 50 MG TAB [Mysoline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207588","drug_name":"Matulane 50 MG CAP [Matulane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207836","drug_name":"Saizen 5 MG RECON SOLN [Saizen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207840","drug_name":"Thiola 100 MG TAB [Thiola]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"207949","drug_name":"Chemet 100 MG CAP [Chemet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208083","drug_name":"Leukine 250 MCG RECON SOLN [Leukine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208117","drug_name":"Exelderm 1 % CREAM [Exelderm]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208118","drug_name":"Exelderm 1 % SOLUTION [Exelderm]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208185","drug_name":"SSD 1 % CREAM [SSD]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208406","drug_name":"Sulfatrim Pediatric 200-40 MG/5ML SUSPENSION [Sulfatrim Pediatric]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208513","drug_name":"Premarin 0.3 MG TAB [Premarin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208720","drug_name":"Syprine 250 MG CAP [Syprine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208821","drug_name":"TobraDex 0.3-0.1 % OINTMENT [TobraDex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"208949","drug_name":"Premarin 0.9 MG TAB [Premarin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"209224","drug_name":"K-Phos No 2 305-700 MG TAB [K-Phos No 2]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"209788","drug_name":"Cystagon 150 MG CAP [Cystagon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"209789","drug_name":"Cystagon 50 MG CAP [Cystagon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2099302","drug_name":"Dupixent 200 MG/1.14ML SOLN PRSYR [Dupixent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2099508","drug_name":"Hailey FE 1.5/30 1.5-30 MG-MCG TAB [Hailey FE 1.5/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2099952","drug_name":"Talzenna 0.25 MG CAP [Talzenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2099956","drug_name":"Talzenna 1 MG CAP [Talzenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2100010","drug_name":"Xofluza (40 MG Dose) 1 x 40 MG TAB THPK [Xofluza (40 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2101899","drug_name":"Sodium Polystyrene Sulfonate   POWDER [Sodium Polystyrene Sulfonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2102784","drug_name":"Yupelri 175 MCG/3ML SOLUTION [Yupelri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2103175","drug_name":"Lorbrena 25 MG TAB [Lorbrena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2103179","drug_name":"Lorbrena 100 MG TAB [Lorbrena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2104192","drug_name":"Tri-VyLibra Lo 0.18/0.215/0.25 MG-25 MCG TAB [Tri-VyLibra Lo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2104341","drug_name":"Oxervate 0.002 % SOLUTION [Oxervate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2104866","drug_name":"Euthyrox 137 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2105645","drug_name":"Vitrakvi 100 MG CAP [Vitrakvi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2105653","drug_name":"Vitrakvi 20 MG/ML SOLUTION [Vitrakvi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2105657","drug_name":"Vitrakvi 25 MG CAP [Vitrakvi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2105817","drug_name":"Xospata 40 MG TAB [Xospata]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2105856","drug_name":"Daurismo 100 MG TAB [Daurismo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2105860","drug_name":"Daurismo 25 MG TAB [Daurismo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2106075","drug_name":"Actemra ACTPen 162 MG/0.9ML SOLN A-INJ [Actemra ACTPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2106997","drug_name":"Jasmiel 3-0.02 MG TAB [Jasmiel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2107008","drug_name":"Tarina 24 Fe 1-20 MG-MCG(24) TAB [Tarina 24 Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2107518","drug_name":"Firdapse 10 MG TAB [Firdapse]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2107520","drug_name":"Insulin Degludec 100 UNIT/ML SOLUTION [Insulin Degludec]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2107522","drug_name":"Tresiba 100 UNIT/ML SOLUTION [Tresiba]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2107621","drug_name":"Inbrija 42 MG CAP [Inbrija]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2109239","drug_name":"Krintafel 150 MG TAB [Krintafel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110455","drug_name":"Alyq 20 MG TAB [Alyq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2110510","drug_name":"Wixela Inhub 100-50 MCG/ACT AER POW BA [Wixela Inhub]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110513","drug_name":"Wixela Inhub 250-50 MCG/ACT AER POW BA [Wixela Inhub]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110516","drug_name":"Wixela Inhub 500-50 MCG/ACT AER POW BA [Wixela Inhub]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110618","drug_name":"Cablivi 11 MG KIT [Cablivi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110774","drug_name":"Dotti 0.025 MG/24HR PATCH TW [Dotti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110777","drug_name":"Dotti 0.0375 MG/24HR PATCH TW [Dotti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110780","drug_name":"Dotti 0.05 MG/24HR PATCH TW [Dotti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110783","drug_name":"Dotti 0.075 MG/24HR PATCH TW [Dotti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2110786","drug_name":"Dotti 0.1 MG/24HR PATCH TW [Dotti]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"211140","drug_name":"Elmiron 100 MG CAP [Elmiron]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"211544","drug_name":"Zoladex 10.8 MG IMPLANT [Zoladex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2117770","drug_name":"LoJaimiess 0.1-0.02 & 0.01 MG TAB [LoJaimiess]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"211817","drug_name":"Epitol 200 MG TAB [Epitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2118539","drug_name":"Lotemax SM 0.38 % GEL [Lotemax SM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2118741","drug_name":"Tremfya One-Press 100 MG/ML SOLN PEN [Tremfya One-Press]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2119389","drug_name":"Spravato (84 MG Dose) 28 MG/DEVICE SOLN THPK [Spravato (84 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2119391","drug_name":"Spravato (56 MG Dose) 28 MG/DEVICE SOLN THPK [Spravato (56 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2119481","drug_name":"Zerviate 0.24 % SOLUTION [Zerviate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2119706","drug_name":"rocklatan 0.02-0.005 % SOLUTION [rocklatan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2120195","drug_name":"Aimovig 140 MG/ML SOLN A-INJ [Aimovig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"212039","drug_name":"Menest 0.3 MG TAB [Menest]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2121061","drug_name":"Zykadia 150 MG TAB [Zykadia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2121096","drug_name":"Mayzent 0.25 MG TAB [Mayzent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2121100","drug_name":"Mayzent 2 MG TAB [Mayzent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212118","drug_name":"Viracept 250 MG TAB [Viracept]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2121591","drug_name":"Heparin Sodium (Porcine) PF 5000 UNIT/0.5ML SOLUTION [Heparin Sodium (Porcine) PF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2121764","drug_name":"Sunosi 75 MG TAB [Sunosi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"212219","drug_name":"Procrit 20000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212232","drug_name":"Menest 0.625 MG TAB [Menest]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122526","drug_name":"Dovato 50-300 MG TAB [Dovato]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122642","drug_name":"Mavenclad (9 Tabs) 10 MG TAB THPK [Mavenclad (9 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122648","drug_name":"Mavenclad (8 Tabs) 10 MG TAB THPK [Mavenclad (8 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122650","drug_name":"Mavenclad (7 Tabs) 10 MG TAB THPK [Mavenclad (7 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122655","drug_name":"Mavenclad (6 Tabs) 10 MG TAB THPK [Mavenclad (6 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122657","drug_name":"Mavenclad (5 Tabs) 10 MG TAB THPK [Mavenclad (5 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122659","drug_name":"Mavenclad (4 Tabs) 10 MG TAB THPK [Mavenclad (4 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2122661","drug_name":"Mavenclad (10 Tabs) 10 MG TAB THPK [Mavenclad (10 Tabs)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123072","drug_name":"Albuterol Sulfate HFA 108 (90 Base) MCG/ACT AERO SOLN [Albuterol Sulfate HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123076","drug_name":"Albuterol Sulfate HFA 108 (90 Base) MCG/ACT AERO SOLN [Albuterol Sulfate HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123111","drug_name":"Albuterol Sulfate HFA 108 (90 Base) MCG/ACT AERO SOLN [Albuterol Sulfate HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123137","drug_name":"Balversa 3 MG TAB [Balversa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123141","drug_name":"Balversa 4 MG TAB [Balversa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123145","drug_name":"Balversa 5 MG TAB [Balversa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123190","drug_name":"Evenity 105 MG/1.17ML SOLN PRSYR [Evenity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123191","drug_name":"Evenity 105 MG/1.17ML SOLN PRSYR [Evenity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2123194","drug_name":"Tadalafil (PAH) 20 MG TAB [Tadalafil (PAH)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2123314","drug_name":"Mayzent Starter Pack 12 x 0.25 MG TAB THPK [Mayzent Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212373","drug_name":"Menest 1.25 MG TAB [Menest]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212464","drug_name":"Menest 2.5 MG TAB [Menest]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212787","drug_name":"Cimetidine HCl 300 MG/5ML SOLUTION [Cimetidine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212810","drug_name":"SandIMMUNE 25 MG CAP [SandIMMUNE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"212957","drug_name":"SandIMMUNE 100 MG/ML SOLUTION [SandIMMUNE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213050","drug_name":"Galzin 50 MG CAP [Galzin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213167","drug_name":"Zomig 5 MG TAB [Zomig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213194","drug_name":"Tobi 300 MG/5ML NEBU SOLN [Tobi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213197","drug_name":"Regranex 0.01 % GEL [Regranex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213224","drug_name":"Cipro 250 MG/5ML (5%) RECON SUSP [Cipro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213226","drug_name":"Cipro 500 MG/5ML (10%) RECON SUSP [Cipro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213262","drug_name":"Alrex 0.2 % SUSPENSION [Alrex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213282","drug_name":"Droxia 200 MG CAP [Droxia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213283","drug_name":"Droxia 300 MG CAP [Droxia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213284","drug_name":"Droxia 400 MG CAP [Droxia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213337","drug_name":"Sucraid 8500 UNIT/ML SOLUTION [Sucraid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213360","drug_name":"Thalomid 50 MG CAP [Thalomid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213361","drug_name":"Remicade 100 MG RECON SOLN [Remicade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213439","drug_name":"Diuril 250 MG/5ML SUSPENSION [Diuril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213442","drug_name":"NovoLIN 70/30 (70-30) 100 UNIT/ML SUSPENSION [NovoLIN 70/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213475","drug_name":"Procrit 40000 UNIT/ML SOLUTION [Procrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213502","drug_name":"Panretin 0.1 % GEL [Panretin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"213510","drug_name":"Ridaura 3 MG CAP [Ridaura]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2166204","drug_name":"Spiriva Respimat 2.5 MCG/ACT AERO SOLN [Spiriva Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2166401","drug_name":"Kalydeco 25 MG PACKET [Kalydeco]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2166928","drug_name":"Stiolto Respimat 2.5-2.5 MCG/ACT AERO SOLN [Stiolto Respimat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2168540","drug_name":"Vyndamax 61 MG CAP [Vyndamax]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2168548","drug_name":"Vyndaqel 20 MG CAP [Vyndaqel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2168596","drug_name":"Corlanor 5 MG/5ML SOLUTION [Corlanor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2169314","drug_name":"Piqray (200 MG Daily Dose) 200 MG TAB THPK [Piqray (200 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2169320","drug_name":"Piqray (250 MG Daily Dose) 200 & 50 MG TAB THPK [Piqray (250 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2169322","drug_name":"Piqray (300 MG Daily Dose) 2 x 150 MG TAB THPK [Piqray (300 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2170613","drug_name":"Emgality (300 MG Dose) 100 MG/ML SOLN PRSYR [Emgality (300 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2170993","drug_name":"Nucala 100 MG/ML SOLN A-INJ [Nucala]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2171002","drug_name":"Slynd 4 MG TAB [Slynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2173500","drug_name":"Nayzilam 5 MG/0.1ML SOLUTION [Nayzilam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2173822","drug_name":"Nucala 100 MG/ML SOLN PRSYR [Nucala]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2173841","drug_name":"Sunosi 150 MG TAB [Sunosi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2174390","drug_name":"Symdeko 50-75 & 75 MG TAB THPK [Symdeko]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2178075","drug_name":"Tiopronin 100 MG TAB DR [Tiopronin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2178077","drug_name":"Thiola EC 100 MG TAB DR [Thiola EC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2178079","drug_name":"Tiopronin 300 MG TAB DR [Tiopronin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2178081","drug_name":"Thiola EC 300 MG TAB DR [Thiola EC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2178407","drug_name":"Xpovio (80 MG Twice Weekly) 20 MG TAB THPK [Xpovio (80 MG Twice Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2180336","drug_name":"Nubeqa 300 MG TAB [Nubeqa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2180671","drug_name":"Baqsimi One Pack 3 MG/DOSE POWDER [Baqsimi One Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2180997","drug_name":"Deferiprone 1000 MG TAB [Deferiprone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2182340","drug_name":"Enbrel Mini 50 MG/ML SOLN CART [Enbrel Mini]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2183912","drug_name":"RyClora 2 MG/5ML SOLUTION [RyClora]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2196592","drug_name":"Dulera 50-5 MCG/ACT AEROSOL [Dulera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2196792","drug_name":"Asmanex HFA 50 MCG/ACT AEROSOL [Asmanex HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2196900","drug_name":"Rinvoq 15 MG TAB ER 24H [Rinvoq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2197501","drug_name":"Inrebic 100 MG CAP [Inrebic]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2197873","drug_name":"Rozlytrek 100 MG CAP [Rozlytrek]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2197877","drug_name":"Rozlytrek 200 MG CAP [Rozlytrek]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2197890","drug_name":"Wakix 4.45 MG TAB [Wakix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2197894","drug_name":"Wakix 17.8 MG TAB [Wakix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2198370","drug_name":"Pretomanid 200 MG TAB [Pretomanid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2199026","drug_name":"Nourianz 20 MG TAB [Nourianz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2199030","drug_name":"Nourianz 40 MG TAB [Nourianz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2199304","drug_name":"Gvoke HypoPen 1-Pack 0.5 MG/0.1ML SOLN A-INJ [Gvoke HypoPen 1-Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2199308","drug_name":"Gvoke HypoPen 1-Pack 1 MG/0.2ML SOLN A-INJ [Gvoke HypoPen 1-Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2199316","drug_name":"Gvoke PFS 1 MG/0.2ML SOLN PRSYR [Gvoke PFS]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2200650","drug_name":"Rybelsus 14 MG TAB [Rybelsus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2200654","drug_name":"Rybelsus 3 MG TAB [Rybelsus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2200658","drug_name":"Rybelsus 7 MG TAB [Rybelsus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2203893","drug_name":"Sovaldi 200 MG TAB [Sovaldi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2203897","drug_name":"Harvoni 45-200 MG TAB [Harvoni]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2203999","drug_name":"Sovaldi 150 MG PACKET [Sovaldi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2204092","drug_name":"Sovaldi 200 MG PACKET [Sovaldi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2204102","drug_name":"Harvoni 33.75-150 MG PACKET [Harvoni]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2204104","drug_name":"Harvoni 45-200 MG PACKET [Harvoni]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2205454","drug_name":"Fiasp PenFill 100 UNIT/ML SOLN CART [Fiasp PenFill]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2205474","drug_name":"Olumiant 1 MG TAB [Olumiant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2205634","drug_name":"Fasenra Pen 30 MG/ML SOLN A-INJ [Fasenra Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2206092","drug_name":"NovoLIN R FlexPen 100 UNIT/ML SOLN PEN [NovoLIN R FlexPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2206099","drug_name":"NovoLIN N FlexPen 100 UNIT/ML SUSP PEN [NovoLIN N FlexPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2256943","drug_name":"Reyvow 100 MG TAB [Reyvow]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2256947","drug_name":"Reyvow 50 MG TAB [Reyvow]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2257013","drug_name":"Trikafta 100-50-75 & 150 MG TAB THPK [Trikafta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2260709","drug_name":"Ziextenzo 6 MG/0.6ML SOLN PRSYR [Ziextenzo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2261794","drug_name":"Vumerity 231 MG CAP DR [Vumerity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2262446","drug_name":"Brukinsa 80 MG CAP [Brukinsa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"226343","drug_name":"Dexamethasone Sodium Phosphate 0.1 % SOLUTION [Dexamethasone Sodium Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"226552","drug_name":"Scopolamine 1 MG/3DAYS PATCH 72HR [Scopolamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2265701","drug_name":"Xcopri 50 MG TAB [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2265729","drug_name":"Secuado 3.8 MG/24HR PATCH 24HR [Secuado]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2265732","drug_name":"Secuado 5.7 MG/24HR PATCH 24HR [Secuado]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2265735","drug_name":"Secuado 7.6 MG/24HR PATCH 24HR [Secuado]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"226597","drug_name":"Estradiol 0.75 MG/1.25 GM (0.06%) GEL [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2266506","drug_name":"EluRyng 0.12-0.015 MG/24HR RING [EluRyng]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2267572","drug_name":"Exservan 50 MG FILM [Exservan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2268065","drug_name":"Basaglar Tempo Pen 100 UNIT/ML SOLN PEN [Basaglar Tempo Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2268227","drug_name":"Ubrelvy 100 MG TAB [Ubrelvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2268231","drug_name":"Ubrelvy 50 MG TAB [Ubrelvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2272118","drug_name":"Ayvakit 100 MG TAB [Ayvakit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2272122","drug_name":"Ayvakit 200 MG TAB [Ayvakit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2272126","drug_name":"Ayvakit 300 MG TAB [Ayvakit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2272414","drug_name":"DayVigo 5 MG TAB [DayVigo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2272622","drug_name":"Valtoco 10 MG Dose 10 MG/0.1ML LIQUID [Valtoco 10 MG Dose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2272624","drug_name":"Valtoco 20 MG Dose 2 x 10 MG/0.1ML LIQD THPK [Valtoco 20 MG Dose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2272630","drug_name":"Valtoco 5 MG Dose 5 MG/0.1ML LIQUID [Valtoco 5 MG Dose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2272636","drug_name":"Valtoco 15 MG Dose 2 x 7.5 MG/0.1ML LIQD THPK [Valtoco 15 MG Dose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2273115","drug_name":"Xeljanz XR 22 MG TAB ER 24H [Xeljanz XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2274390","drug_name":"Tazverik 200 MG TAB [Tazverik]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2274814","drug_name":"Jynarque 30 & 15 MG TAB THPK [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2274816","drug_name":"Jynarque 15 MG TAB THPK [Jynarque]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2279847","drug_name":"Dificid 40 MG/ML RECON SUSP [Dificid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2280761","drug_name":"Charlotte 24 Fe 1-20 MG-MCG(24) CHEW TAB [Charlotte 24 Fe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2282320","drug_name":"Nurtec 75 MG TAB DISP [Nurtec]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2282414","drug_name":"Nexletol 180 MG TAB [Nexletol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283236","drug_name":"Nexlizet 180-10 MG TAB [Nexlizet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283505","drug_name":"Xcopri 100 MG TAB [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283509","drug_name":"Xcopri 150 MG TAB [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283513","drug_name":"Xcopri 200 MG TAB [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283518","drug_name":"Xcopri (350 MG Daily Dose) 150 & 200 MG TAB THPK [Xcopri (350 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283536","drug_name":"Xcopri 14 x 50 MG & 14 x100 MG TAB THPK [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283538","drug_name":"Xcopri 14 x 12.5 MG & 14 x 25 MG TAB THPK [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2283540","drug_name":"Xcopri 14 x 150 MG & 14 x200 MG TAB THPK [Xcopri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2284104","drug_name":"Ibrance 100 MG TAB [Ibrance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2284106","drug_name":"Ibrance 125 MG TAB [Ibrance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2284108","drug_name":"Ibrance 75 MG TAB [Ibrance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2284514","drug_name":"Procysbi 300 MG PACKET [Procysbi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2284516","drug_name":"Procysbi 75 MG PACKET [Procysbi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2286281","drug_name":"Isturisa 1 MG TAB [Isturisa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2286290","drug_name":"Isturisa 5 MG TAB [Isturisa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2287905","drug_name":"Ajovy 225 MG/1.5ML SOLN A-INJ [Ajovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2288412","drug_name":"Zeposia 0.92 MG CAP [Zeposia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2288427","drug_name":"DayVigo 10 MG TAB [DayVigo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2288433","drug_name":"Zeposia 7-Day Starter Pack 4 x 0.23MG & 3 x 0.46MG CAP THPK [Zeposia 7-Day Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2288816","drug_name":"Epclusa 200-50 MG TAB [Epclusa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2289424","drug_name":"Koselugo 10 MG CAP [Koselugo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2289428","drug_name":"Koselugo 25 MG CAP [Koselugo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359285","drug_name":"Trijardy XR 10-5-1000 MG TAB ER 24H [Trijardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359290","drug_name":"Trijardy XR 12.5-2.5-1000 MG TAB ER 24H [Trijardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359340","drug_name":"Pemazyre 13.5 MG TAB [Pemazyre]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359344","drug_name":"Pemazyre 4.5 MG TAB [Pemazyre]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359348","drug_name":"Pemazyre 9 MG TAB [Pemazyre]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359353","drug_name":"Trijardy XR 25-5-1000 MG TAB ER 24H [Trijardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2359358","drug_name":"Trijardy XR 5-2.5-1000 MG TAB ER 24H [Trijardy XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2361296","drug_name":"Tukysa 150 MG TAB [Tukysa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2361300","drug_name":"Tukysa 50 MG TAB [Tukysa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2361313","drug_name":"Nymalize 6 MG/ML SOLUTION [Nymalize]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2362240","drug_name":"Tabrecta 150 MG TAB [Tabrecta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2362244","drug_name":"Tabrecta 200 MG TAB [Tabrecta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2369403","drug_name":"Qinlock 50 MG TAB [Qinlock]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2370170","drug_name":"Retevmo 40 MG CAP [Retevmo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2370174","drug_name":"Retevmo 80 MG CAP [Retevmo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2371768","drug_name":"Oriahnn 300-1-0.5 & 300 MG CAP THPK [Oriahnn]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2373941","drug_name":"Sirturo 20 MG TAB [Sirturo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2374566","drug_name":"Tivicay PD 5 MG TAB SOL [Tivicay PD]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2375329","drug_name":"Dupixent 300 MG/2ML SOLN A-INJ [Dupixent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"238003","drug_name":"Estradiol 0.05 MG/24HR PATCH WK [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"238004","drug_name":"Estradiol 0.1 MG/24HR PATCH WK [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2380236","drug_name":"Lyumjev 100 UNIT/ML SOLUTION [Lyumjev]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2380256","drug_name":"Lyumjev KwikPen 200 UNIT/ML SOLN PEN [Lyumjev KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2380260","drug_name":"Lyumjev KwikPen 100 UNIT/ML SOLN PEN [Lyumjev KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2380268","drug_name":"Lyumjev Tempo Pen 100 UNIT/ML SOLN PEN [Lyumjev Tempo Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2380551","drug_name":"Rukobia 600 MG TAB ER 12H [Rukobia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2380617","drug_name":"Mycapssa 20 MG CAP DR [Mycapssa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2381144","drug_name":"Fintepla 2.2 MG/ML SOLUTION [Fintepla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"238134","drug_name":"Butalbital-Aspirin-Caffeine 50-325-40 MG CAP [Butalbital-Aspirin-Caffeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"238151","drug_name":"Mesalamine 4 GM ENEMA [Mesalamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"238154","drug_name":"BAC (Butalbital-Acetamin-Caff) 50-325-40 MG TAB [BAC (Butalbital-Acetamin-Caff)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2382990","drug_name":"Xpovio (60 MG Twice Weekly) 20 MG TAB THPK [Xpovio (60 MG Twice Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2384465","drug_name":"Inqovi 35-100 MG TAB [Inqovi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2385353","drug_name":"Phexxi 1.8-1-0.4 % GEL [Phexxi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"238600","drug_name":"Selenium Sulfide 2.5 % LOTION [Selenium Sulfide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2387328","drug_name":"Breztri Aerosphere 160-9-4.8 MCG/ACT AEROSOL [Breztri Aerosphere]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2387331","drug_name":"Breztri Aerosphere 160-9-4.8 MCG/ACT AEROSOL [Breztri Aerosphere]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"238920","drug_name":"Betamethasone Dipropionate 0.05 % CREAM [Betamethasone Dipropionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2390646","drug_name":"Xtandi 40 MG TAB [Xtandi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2390650","drug_name":"Xtandi 80 MG TAB [Xtandi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2390946","drug_name":"Evrysdi 0.75 MG/ML RECON SOLN [Evrysdi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2390954","drug_name":"Kesimpta 20 MG/0.4ML SOLN A-INJ [Kesimpta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2391560","drug_name":"Enspryng 120 MG/ML SOLN PRSYR [Enspryng]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2391754","drug_name":"Upneeq 0.1 % SOLUTION [Upneeq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"239191","drug_name":"Amoxicillin 250 MG/5ML RECON SUSP [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2392142","drug_name":"Enbrel 25 MG/0.5ML SOLUTION [Enbrel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"239238","drug_name":"Griseofulvin Microsize 125 MG/5ML SUSPENSION [Griseofulvin Microsize]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"239239","drug_name":"Griseofulvin Ultramicrosize 250 MG TAB [Griseofulvin Ultramicrosize]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2394947","drug_name":"Gavreto 100 MG CAP [Gavreto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2395771","drug_name":"Trelegy Ellipta 200-62.5-25 MCG/ACT AER POW BA [Trelegy Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2395775","drug_name":"Trelegy Ellipta 200-62.5-25 MCG/ACT AER POW BA [Trelegy Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2395779","drug_name":"Trulicity 3 MG/0.5ML SOLN A-INJ [Trulicity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2395785","drug_name":"Trulicity 4.5 MG/0.5ML SOLN A-INJ [Trulicity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2396258","drug_name":"Twirla 120-30 MCG/24HR PATCH WK [Twirla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2396259","drug_name":"Twirla 120-30 MCG/24HR PATCH WK [Twirla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2396770","drug_name":"Onureg 200 MG TAB [Onureg]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2396774","drug_name":"Onureg 300 MG TAB [Onureg]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2396905","drug_name":"Cystadrops 0.37 % SOLUTION [Cystadrops]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2397128","drug_name":"Lyleq 0.35 MG TAB [Lyleq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2397991","drug_name":"Lampit 30 MG TAB [Lampit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2397994","drug_name":"Lampit 120 MG TAB [Lampit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2398842","drug_name":"Ozempic (1 MG/DOSE) 4 MG/3ML SOLN PEN [Ozempic (1 MG/DOSE)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2399892","drug_name":"Lyllana 0.025 MG/24HR PATCH TW [Lyllana]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2399895","drug_name":"Lyllana 0.0375 MG/24HR PATCH TW [Lyllana]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2399898","drug_name":"Lyllana 0.05 MG/24HR PATCH TW [Lyllana]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2399901","drug_name":"Lyllana 0.075 MG/24HR PATCH TW [Lyllana]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2399904","drug_name":"Lyllana 0.1 MG/24HR PATCH TW [Lyllana]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"240209","drug_name":"Betamethasone Dipropionate 0.05 % LOTION [Betamethasone Dipropionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"240741","drug_name":"Clarithromycin 125 MG/5ML RECON SUSP [Clarithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"241527","drug_name":"Estradiol 0.075 MG/24HR PATCH WK [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"241834","drug_name":"cycloSPORINE Modified 100 MG CAP [cycloSPORINE Modified]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"241946","drug_name":"Estradiol 0.0375 MG/24HR PATCH TW [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242120","drug_name":"Insulin Lispro 100 UNIT/ML SOLUTION [Insulin Lispro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242333","drug_name":"Estradiol 0.025 MG/24HR PATCH WK [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242438","drug_name":"Montelukast Sodium 5 MG CHEW TAB [Montelukast Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242446","drug_name":"Ofloxacin 0.3 % SOLUTION [Ofloxacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242461","drug_name":"Cilostazol 100 MG TAB [Cilostazol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242462","drug_name":"Cilostazol 50 MG TAB [Cilostazol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242679","drug_name":"Abacavir Sulfate 300 MG TAB [Abacavir Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242680","drug_name":"Abacavir Sulfate 20 MG/ML SOLUTION [Abacavir Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242754","drug_name":"Levalbuterol HCl 1.25 MG/3ML NEBU SOLN [Levalbuterol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242831","drug_name":"Griseofulvin Ultramicrosize 125 MG TAB [Griseofulvin Ultramicrosize]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242891","drug_name":"Estradiol 0.05 MG/24HR PATCH TW [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"242892","drug_name":"Estradiol 0.1 MG/24HR PATCH TW [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"244374","drug_name":"Benzoyl Peroxide-Erythromycin 5-3 % GEL [Benzoyl Peroxide-Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"245134","drug_name":"fentaNYL 25 MCG/HR PATCH 72HR [fentaNYL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"245135","drug_name":"fentaNYL 50 MCG/HR PATCH 72HR [fentaNYL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"245136","drug_name":"fentaNYL 100 MCG/HR PATCH 72HR [fentaNYL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"245273","drug_name":"Digoxin 62.5 MCG TAB [Digoxin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"245314","drug_name":"Albuterol Sulfate 2.5 MG/0.5ML NEBU SOLN [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"246172","drug_name":"cloBAZam 20 MG TAB [cloBAZam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2463733","drug_name":"Retacrit 10000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2463737","drug_name":"Retacrit 20000 UNIT/ML SOLUTION [Retacrit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2463741","drug_name":"Gemmily 1-20 MG-MCG(24) CAP [Gemmily]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2465331","drug_name":"Tyblume 0.1-20 MG-MCG CHEW TAB [Tyblume]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2465556","drug_name":"Sutab 1479-225-188 MG TAB [Sutab]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2467571","drug_name":"Orladeyo 150 MG CAP [Orladeyo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2467575","drug_name":"Orladeyo 110 MG CAP [Orladeyo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2467588","drug_name":"Zokinvy 50 MG CAP [Zokinvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2467592","drug_name":"Zokinvy 75 MG CAP [Zokinvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2468058","drug_name":"Nymyo 0.25-35 MG-MCG TAB [Nymyo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2469340","drug_name":"Nyvepria 6 MG/0.6ML SOLN PRSYR [Nyvepria]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2471314","drug_name":"Tri-Nymyo 0.18/0.215/0.25 MG-35 MCG TAB [Tri-Nymyo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2472307","drug_name":"Dolishale 90-20 MCG TAB [Dolishale]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2472321","drug_name":"Gemtesa 75 MG TAB [Gemtesa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2472789","drug_name":"Orgovyx 120 MG TAB [Orgovyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2473042","drug_name":"Iclusig 10 MG TAB [Iclusig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2473107","drug_name":"Accutane 30 MG CAP [Accutane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2473282","drug_name":"Thyquidity 100 MCG/5ML SOLUTION [Thyquidity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2475406","drug_name":"Lupkynis 7.9 MG CAP [Lupkynis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2475852","drug_name":"Verquvo 10 MG TAB [Verquvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2475856","drug_name":"Verquvo 2.5 MG TAB [Verquvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2475860","drug_name":"Verquvo 5 MG TAB [Verquvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2477272","drug_name":"Tepmetko 225 MG TAB [Tepmetko]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2478437","drug_name":"Xeljanz 1 MG/ML SOLUTION [Xeljanz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"248109","drug_name":"Ribavirin 200 MG TAB [Ribavirin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"248420","drug_name":"Mesalamine 1000 MG SUPPOS [Mesalamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"248478","drug_name":"Estradiol 0.025 MG/24HR PATCH TW [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"248656","drug_name":"Azithromycin 500 MG TAB [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"249066","drug_name":"prednisoLONE Sodium Phosphate 25 MG/5ML SOLUTION [prednisoLONE Sodium Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"250344","drug_name":"Ciclopirox 1 % SHAMPOO [Ciclopirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"250820","drug_name":"Vigabatrin 500 MG PACKET [Vigabatrin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"251322","drug_name":"Ethosuximide 250 MG/5ML SOLUTION [Ethosuximide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"251872","drug_name":"Pantoprazole Sodium 20 MG TAB DR [Pantoprazole Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"252559","drug_name":"Budesonide 1 MG/2ML SUSPENSION [Budesonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2531285","drug_name":"Zafemy 150-35 MCG/24HR PATCH WK [Zafemy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2534244","drug_name":"Fotivda 0.89 MG CAP [Fotivda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2534249","drug_name":"Fotivda 1.34 MG CAP [Fotivda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2535243","drug_name":"Zegalogue 0.6 MG/0.6ML SOLN PRSYR [Zegalogue]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2535249","drug_name":"Zegalogue 0.6 MG/0.6ML SOLN A-INJ [Zegalogue]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2536742","drug_name":"Xofluza (80 MG Dose) 1 x 80 MG TAB THPK [Xofluza (80 MG Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2539032","drug_name":"Nextstellis 3-14.2 MG TAB [Nextstellis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2540432","drug_name":"Xcopri (250 MG Daily Dose) 100 & 150 MG TAB THPK [Xcopri (250 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2540695","drug_name":"Skyrizi Pen 150 MG/ML SOLN A-INJ [Skyrizi Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2540699","drug_name":"Skyrizi 150 MG/ML SOLN PRSYR [Skyrizi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2540709","drug_name":"Kloxxado 8 MG/0.1ML LIQUID [Kloxxado]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2541237","drug_name":"Myrbetriq 8 MG/ML SRER [Myrbetriq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2541513","drug_name":"Ingrezza 60 MG CAP [Ingrezza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2548736","drug_name":"Xpovio (60 MG Once Weekly) 60 MG TAB THPK [Xpovio (60 MG Once Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2548742","drug_name":"Xpovio (100 MG Once Weekly) 50 MG TAB THPK [Xpovio (100 MG Once Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2548766","drug_name":"Xpovio (80 MG Once Weekly) 40 MG TAB THPK [Xpovio (80 MG Once Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2548767","drug_name":"Xpovio (40 MG Twice Weekly) 40 MG TAB THPK [Xpovio (40 MG Twice Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2548769","drug_name":"Xpovio (40 MG Once Weekly) 40 MG TAB THPK [Xpovio (40 MG Once Weekly)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2550713","drug_name":"Cosentyx 75 MG/0.5ML SOLN PRSYR [Cosentyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2550725","drug_name":"Lumakras 120 MG TAB [Lumakras]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2553506","drug_name":"Wegovy 0.25 MG/0.5ML SOLN A-INJ [Wegovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2553603","drug_name":"Wegovy 0.5 MG/0.5ML SOLN A-INJ [Wegovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2553803","drug_name":"Wegovy 1 MG/0.5ML SOLN A-INJ [Wegovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2553903","drug_name":"Wegovy 1.7 MG/0.75ML SOLN A-INJ [Wegovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2554104","drug_name":"Wegovy 2.4 MG/0.75ML SOLN A-INJ [Wegovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2556800","drug_name":"Myfembree 40-1-0.5 MG TAB [Myfembree]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2557216","drug_name":"Trikafta 50-25-37.5 & 75 MG TAB THPK [Trikafta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2557403","drug_name":"Sogroya 10 MG/1.5ML SOLN PEN [Sogroya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2557910","drug_name":"Mavyret 50-20 MG PACKET [Mavyret]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2558607","drug_name":"Noxafil 300 MG PACKET [Noxafil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2559707","drug_name":"Dupixent 200 MG/1.14ML SOLN A-INJ [Dupixent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2559725","drug_name":"Ayvakit 25 MG TAB [Ayvakit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2559729","drug_name":"Ayvakit 50 MG TAB [Ayvakit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2563971","drug_name":"Insulin Glargine-yfgn 100 UNIT/ML SOLN PEN [Insulin Glargine-yfgn]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2563973","drug_name":"Semglee (yfgn) 100 UNIT/ML SOLN PEN [Semglee (yfgn)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2563976","drug_name":"Insulin Glargine-yfgn 100 UNIT/ML SOLUTION [Insulin Glargine-yfgn]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2563977","drug_name":"Semglee (yfgn) 100 UNIT/ML SOLUTION [Semglee (yfgn)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2563989","drug_name":"Bylvay (Pellets) 200 MCG CAP SPRINK [Bylvay (Pellets)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2563993","drug_name":"Bylvay (Pellets) 600 MCG CAP SPRINK [Bylvay (Pellets)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2564001","drug_name":"Bylvay 400 MCG CAP [Bylvay]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2564005","drug_name":"Bylvay 1200 MCG CAP [Bylvay]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2564037","drug_name":"Rezurock 200 MG TAB [Rezurock]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2565286","drug_name":"Saphnelo 300 MG/2ML SOLUTION [Saphnelo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2566439","drug_name":"Taysofy 1-20 MG-MCG(24) CAP [Taysofy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2566610","drug_name":"Tirosint-SOL 62.5 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2566615","drug_name":"Tirosint-SOL 37.5 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2566619","drug_name":"Tirosint-SOL 44 MCG/ML SOLUTION [Tirosint-SOL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2567237","drug_name":"Welireg 40 MG TAB [Welireg]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569281","drug_name":"Hydroxychloroquine Sulfate 100 MG TAB [Hydroxychloroquine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569283","drug_name":"Hydroxychloroquine Sulfate 300 MG TAB [Hydroxychloroquine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569480","drug_name":"Sajazir 30 MG/3ML SOLN PRSYR [Sajazir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2569605","drug_name":"Skytrofa 11 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569609","drug_name":"Skytrofa 13.3 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569613","drug_name":"Skytrofa 3 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569617","drug_name":"Skytrofa 3.6 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569621","drug_name":"Skytrofa 4.3 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569625","drug_name":"Skytrofa 5.2 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569629","drug_name":"Skytrofa 6.3 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569633","drug_name":"Skytrofa 7.6 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2569637","drug_name":"Skytrofa 9.1 MG CARTRIDGE [Skytrofa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2570419","drug_name":"Invega Hafyera 1092 MG/3.5ML SUSP PRSYR [Invega Hafyera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2570421","drug_name":"Invega Hafyera 1560 MG/5ML SUSP PRSYR [Invega Hafyera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2570748","drug_name":"Exkivity 40 MG CAP [Exkivity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2570757","drug_name":"Opzelura 1.5 % CREAM [Opzelura]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2571085","drug_name":"Livmarli 9.5 MG/ML SOLUTION [Livmarli]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2571805","drug_name":"Sogroya 5 MG/1.5ML SOLN PEN [Sogroya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2571842","drug_name":"Qulipta 10 MG TAB [Qulipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2571846","drug_name":"Qulipta 30 MG TAB [Qulipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2571850","drug_name":"Qulipta 60 MG TAB [Qulipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2572111","drug_name":"Tavneos 10 MG CAP [Tavneos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2572292","drug_name":"cycloSPORINE 0.05 % EMULSION [cycloSPORINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2572293","drug_name":"Restasis 0.05 % EMULSION [Restasis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2572371","drug_name":"Tyrvaya 0.03 MG/ACT SOLUTION [Tyrvaya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2584199","drug_name":"Epclusa 150-37.5 MG PACKET [Epclusa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2584201","drug_name":"Epclusa 200-50 MG PACKET [Epclusa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2584326","drug_name":"Scemblix 20 MG TAB [Scemblix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2584330","drug_name":"Scemblix 40 MG TAB [Scemblix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2584356","drug_name":"Biktarvy 30-120-15 MG TAB [Biktarvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2586079","drug_name":"Livtencity 200 MG TAB [Livtencity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2586369","drug_name":"Voxzogo 0.4 MG RECON SOLN [Voxzogo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2586373","drug_name":"Voxzogo 0.56 MG RECON SOLN [Voxzogo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2586377","drug_name":"Voxzogo 1.2 MG RECON SOLN [Voxzogo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2587070","drug_name":"Besremi 500 MCG/ML SOLN PRSYR [Besremi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2587361","drug_name":"Gvoke Kit 1 MG/0.2ML SOLUTION [Gvoke Kit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2587899","drug_name":"Paxlovid (300/100) 20 x 150 MG & 10 x 100MG TAB THPK [Paxlovid (300/100)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2588066","drug_name":"Xarelto 1 MG/ML RECON SUSP [Xarelto]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2588269","drug_name":"Leqvio 284 MG/1.5ML SOLN PRSYR [Leqvio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2589384","drug_name":"Adbry 150 MG/ML SOLN PRSYR [Adbry]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2590054","drug_name":"Rinvoq 30 MG TAB ER 24H [Rinvoq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2590619","drug_name":"Pradaxa 110 MG PACKET [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2590621","drug_name":"Pradaxa 150 MG PACKET [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2590625","drug_name":"Pradaxa 20 MG PACKET [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2590629","drug_name":"Pradaxa 30 MG PACKET [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2590633","drug_name":"Pradaxa 40 MG PACKET [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2590637","drug_name":"Pradaxa 50 MG PACKET [Pradaxa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2590643","drug_name":"Descovy 120-15 MG TAB [Descovy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"259081","drug_name":"Aspirin-Dipyridamole ER 25-200 MG CAP ER 12H [Aspirin-Dipyridamole ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2591487","drug_name":"Cibinqo 100 MG TAB [Cibinqo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2591491","drug_name":"Cibinqo 200 MG TAB [Cibinqo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2591495","drug_name":"Cibinqo 50 MG TAB [Cibinqo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2591508","drug_name":"Quviviq 25 MG TAB [Quviviq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2591512","drug_name":"Talzenna 0.5 MG CAP [Talzenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2591521","drug_name":"Talzenna 0.75 MG CAP [Talzenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"259255","drug_name":"Atorvastatin Calcium 80 MG TAB [Atorvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2593419","drug_name":"Takhzyro 300 MG/2ML SOLN PRSYR [Takhzyro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594479","drug_name":"Pyrukynd 20 MG TAB [Pyrukynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594498","drug_name":"Pyrukynd 5 MG TAB [Pyrukynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594503","drug_name":"Pyrukynd 50 MG TAB [Pyrukynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594608","drug_name":"Mayzent 1 MG TAB [Mayzent]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594742","drug_name":"Pyrukynd 20 MG TAB [Pyrukynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594744","drug_name":"Pyrukynd 5 MG TAB [Pyrukynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594746","drug_name":"Pyrukynd Taper Pack 5 MG TAB THPK [Pyrukynd Taper Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594748","drug_name":"Pyrukynd Taper Pack 7 x 20 MG & 7 x 5 MG TAB THPK [Pyrukynd Taper Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594750","drug_name":"Pyrukynd Taper Pack 7 x 50 MG & 7 x 20 MG TAB THPK [Pyrukynd Taper Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594795","drug_name":"Pyrukynd 50 MG TAB [Pyrukynd]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2594797","drug_name":"Mayzent Starter Pack 7 x 0.25 MG TAB THPK [Mayzent Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2595254","drug_name":"Vonjo 100 MG CAP [Vonjo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2595466","drug_name":"Merzee 1-20 MG-MCG(24) CAP [Merzee]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2596445","drug_name":"Nucala 40 MG/0.4ML SOLN PRSYR [Nucala]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2596869","drug_name":"Hyftor 0.2 % GEL [Hyftor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2596960","drug_name":"Rinvoq 45 MG TAB ER 24H [Rinvoq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2597670","drug_name":"Breyna 160-4.5 MCG/ACT AEROSOL [Breyna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2597673","drug_name":"Breyna 80-4.5 MCG/ACT AEROSOL [Breyna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2598352","drug_name":"Triumeq PD 60-5-30 MG TAB SOL [Triumeq PD]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2598453","drug_name":"Dodex 1000 MCG/ML SOLUTION [Dodex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2598465","drug_name":"Vijoice 125 MG TAB THPK [Vijoice]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2598467","drug_name":"Vijoice 50 MG TAB THPK [Vijoice]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2598470","drug_name":"Vijoice 200 & 50 MG TAB THPK [Vijoice]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2599098","drug_name":"Quviviq 50 MG TAB [Quviviq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2599365","drug_name":"Ozempic (2 MG/DOSE) 8 MG/3ML SOLN PEN [Ozempic (2 MG/DOSE)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2599543","drug_name":"Paxlovid (150/100) 10 x 150 MG & 10 x 100MG TAB THPK [Paxlovid (150/100)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"259966","drug_name":"methylPREDNISolone 4 MG TAB [methylPREDNISolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2600878","drug_name":"Camzyos 10 MG CAP [Camzyos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2600882","drug_name":"Camzyos 15 MG CAP [Camzyos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2600886","drug_name":"Camzyos 2.5 MG CAP [Camzyos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2600890","drug_name":"Camzyos 5 MG CAP [Camzyos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2601725","drug_name":"Olumiant 4 MG TAB [Olumiant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2601746","drug_name":"Mounjaro 5 MG/0.5ML SOLN A-INJ [Mounjaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2601758","drug_name":"Mounjaro 15 MG/0.5ML SOLN A-INJ [Mounjaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2601764","drug_name":"Mounjaro 2.5 MG/0.5ML SOLN A-INJ [Mounjaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2601770","drug_name":"Mounjaro 10 MG/0.5ML SOLN A-INJ [Mounjaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2601776","drug_name":"Mounjaro 12.5 MG/0.5ML SOLN A-INJ [Mounjaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2601785","drug_name":"Mounjaro 7.5 MG/0.5ML SOLN A-INJ [Mounjaro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2602122","drug_name":"Radicava ORS 105 MG/5ML SUSPENSION [Radicava ORS]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"260218","drug_name":"Modafinil 100 MG TAB [Modafinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2602306","drug_name":"Vtama 1 % CREAM [Vtama]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"260243","drug_name":"Progesterone 100 MG CAP [Progesterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"260260","drug_name":"Carbidopa 25 MG TAB [Carbidopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"260376","drug_name":"Terazosin HCl 10 MG CAP [Terazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2604622","drug_name":"Skyrizi 600 MG/10ML SOLUTION [Skyrizi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2604628","drug_name":"Skyrizi 360 MG/2.4ML SOLN CART [Skyrizi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2604700","drug_name":"Ztalmy 50 MG/ML SUSPENSION [Ztalmy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2606490","drug_name":"Pirfenidone 534 MG TAB [Pirfenidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2606516","drug_name":"Leuprolide Acetate (3 Month) 22.5 MG INJECTABLE [Leuprolide Acetate (3 Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2607737","drug_name":"Calquence 100 MG TAB [Calquence]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2608539","drug_name":"Zoryve 0.3 % CREAM [Zoryve]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2608695","drug_name":"Finzala 1-20 MG-MCG(24) CHEW TAB [Finzala]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2610134","drug_name":"Pheburane 483 MG/GM PELLET [Pheburane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2610302","drug_name":"Tascenso ODT 0.25 MG TAB DISP [Tascenso ODT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"261101","drug_name":"Priftin 150 MG TAB [Priftin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2611266","drug_name":"Auvelity 45-105 MG TAB ER [Auvelity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"261134","drug_name":"Prograf 0.5 MG CAP [Prograf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2611460","drug_name":"Orkambi 75-94 MG PACKET [Orkambi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2611540","drug_name":"Imbruvica 70 MG/ML SUSPENSION [Imbruvica]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"261178","drug_name":"Nystop 100000 UNIT/GM POWDER [Nystop]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2611951","drug_name":"Javygtor 100 MG PACKET [Javygtor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2612098","drug_name":"Sotyktu 6 MG TAB [Sotyktu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2612671","drug_name":"Javygtor 100 MG TAB [Javygtor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2613759","drug_name":"Skyrizi 180 MG/1.2ML SOLN CART [Skyrizi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619154","drug_name":"Ozempic (0.25 or 0.5 MG/DOSE) 2 MG/3ML SOLN PEN [Ozempic (0.25 or 0.5 MG/DOSE)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"261962","drug_name":"Ramipril 10 MG CAP [Ramipril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619677","drug_name":"Estradiol 0.25 MG/0.25GM GEL [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619678","drug_name":"Divigel 0.25 MG/0.25GM GEL [Divigel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619679","drug_name":"Estradiol 0.5 MG/0.5GM GEL [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619680","drug_name":"Divigel 0.5 MG/0.5GM GEL [Divigel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619681","drug_name":"Estradiol 0.75 MG/0.75GM GEL [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619682","drug_name":"Divigel 0.75 MG/0.75GM GEL [Divigel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619683","drug_name":"Estradiol 1 MG/GM GEL [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619684","drug_name":"Divigel 1 MG/GM GEL [Divigel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619685","drug_name":"Estradiol 1.25 MG/1.25GM GEL [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2619686","drug_name":"Divigel 1.25 MG/1.25GM GEL [Divigel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2621028","drug_name":"Furoscix 80 MG/10ML CART KIT [Furoscix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2621237","drug_name":"Javygtor 500 MG PACKET [Javygtor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2621572","drug_name":"HumaLOG Tempo Pen 100 UNIT/ML SOLN PEN [HumaLOG Tempo Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2622921","drug_name":"Haloette 0.12-0.015 MG/24HR RING [Haloette]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2623472","drug_name":"Cresemba 74.5 MG CAP [Cresemba]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2623654","drug_name":"Rezlidhia 150 MG CAP [Rezlidhia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2625898","drug_name":"Sunlenca 4 x 300 MG TAB THPK [Sunlenca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2625900","drug_name":"Sunlenca 5 x 300 MG TAB THPK [Sunlenca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2625912","drug_name":"Sunlenca 463.5 MG/1.5ML SOLUTION [Sunlenca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2625923","drug_name":"Krazati 200 MG TAB [Krazati]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2626056","drug_name":"Ermeza 150 MCG/5ML SOLUTION [Ermeza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2626385","drug_name":"Tascenso ODT 0.5 MG TAB DISP [Tascenso ODT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2626399","drug_name":"Turalio 125 MG CAP [Turalio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2626828","drug_name":"Emzahh 0.35 MG TAB [Emzahh]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628204","drug_name":"Lytgobi (12 MG Daily Dose) 4 MG TAB THPK [Lytgobi (12 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628206","drug_name":"Lytgobi (16 MG Daily Dose) 4 MG TAB THPK [Lytgobi (16 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628208","drug_name":"Lytgobi (20 MG Daily Dose) 4 MG TAB THPK [Lytgobi (20 MG Daily Dose)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628242","drug_name":"Lumakras 320 MG TAB [Lumakras]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628484","drug_name":"Orserdu 86 MG TAB [Orserdu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628489","drug_name":"Orserdu 345 MG TAB [Orserdu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2628923","drug_name":"Tezspire 210 MG/1.91ML SOLN A-INJ [Tezspire]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2629349","drug_name":"Jaypirca 100 MG TAB [Jaypirca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2629353","drug_name":"Jaypirca 50 MG TAB [Jaypirca]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2629981","drug_name":"Takhzyro 150 MG/ML SOLN PRSYR [Takhzyro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630217","drug_name":"Erleada 240 MG TAB [Erleada]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630546","drug_name":"Filspari 200 MG TAB [Filspari]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2630550","drug_name":"Filspari 400 MG TAB [Filspari]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2630667","drug_name":"Orenitram Month 1 0.125 & 0.25 MG TBER THPK [Orenitram Month 1]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630669","drug_name":"Orenitram Month 2 0.125 & 0.25 MG TBER THPK [Orenitram Month 2]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630671","drug_name":"Orenitram Month 3 0.125 & 0.25 &1 MG TBER THPK [Orenitram Month 3]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630740","drug_name":"Tirosint 37.5 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630744","drug_name":"Tirosint 44 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2630748","drug_name":"Tirosint 62.5 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2631942","drug_name":"Skyclarys 50 MG CAP [Skyclarys]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2632556","drug_name":"Tafinlar 10 MG TAB SOL [Tafinlar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2632564","drug_name":"Mekinist 0.05 MG/ML RECON SOLN [Mekinist]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2632729","drug_name":"Hemlibra 300 MG/2ML SOLUTION [Hemlibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2632863","drug_name":"Daybue 200 MG/ML SOLUTION [Daybue]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2633021","drug_name":"Joenja 70 MG TAB [Joenja]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2635022","drug_name":"Trikafta 80-40-60 & 59.5 MG THER PACK [Trikafta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2635026","drug_name":"Trikafta 100-50-75 & 75 MG THER PACK [Trikafta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636039","drug_name":"Uzedy 100 MG/0.28ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636042","drug_name":"Uzedy 125 MG/0.35ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636044","drug_name":"Uzedy 150 MG/0.42ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636046","drug_name":"Uzedy 200 MG/0.56ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636048","drug_name":"Uzedy 250 MG/0.7ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636050","drug_name":"Uzedy 50 MG/0.14ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636052","drug_name":"Uzedy 75 MG/0.21ML SUSP PRSYR [Uzedy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636548","drug_name":"Vowst   CAP [Vowst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636640","drug_name":"Abilify Asimtufii 720 MG/2.4ML PRSYR [Abilify Asimtufii]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636646","drug_name":"Abilify Asimtufii 960 MG/3.2ML PRSYR [Abilify Asimtufii]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636789","drug_name":"Kalydeco 13.4 MG PACKET [Kalydeco]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636793","drug_name":"Kalydeco 5.8 MG PACKET [Kalydeco]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636828","drug_name":"Lumryz 4.5 GM PACKET [Lumryz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636832","drug_name":"Lumryz 6 GM PACKET [Lumryz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636836","drug_name":"Lumryz 7.5 GM PACKET [Lumryz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636840","drug_name":"Lumryz 9 GM PACKET [Lumryz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2636954","drug_name":"Sogroya 15 MG/1.5ML SOLN PEN [Sogroya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2637348","drug_name":"Cosentyx UnoReady 300 MG/2ML SOLN A-INJ [Cosentyx UnoReady]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2637476","drug_name":"Breo Ellipta 50-25 MCG/INH AER POW BA [Breo Ellipta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2637556","drug_name":"Miebo 1.338 GM/ML SOLUTION [Miebo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2639669","drug_name":"Lupron Depot-Ped (6-Month) 45 MG KIT [Lupron Depot-Ped (6-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2639727","drug_name":"Opvee 2.7 MG/0.1ML SOLUTION [Opvee]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2639743","drug_name":"Lupron Depot-Ped (1-Month) 7.5 MG KIT [Lupron Depot-Ped (1-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2639750","drug_name":"Lupron Depot-Ped (3-Month) 11.25 MG (Ped) KIT [Lupron Depot-Ped (3-Month)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2639962","drug_name":"Talzenna 0.1 MG CAP [Talzenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2639966","drug_name":"Talzenna 0.35 MG CAP [Talzenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640210","drug_name":"Zejula 100 MG TAB [Zejula]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640212","drug_name":"Zejula 200 MG TAB [Zejula]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640214","drug_name":"Zejula 300 MG TAB [Zejula]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640300","drug_name":"Hadlima PushTouch 40 MG/0.8ML SOLN A-INJ [Hadlima PushTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640305","drug_name":"Hadlima 40 MG/0.8ML SOLN PRSYR [Hadlima]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640428","drug_name":"Hadlima 40 MG/0.4ML SOLN PRSYR [Hadlima]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640432","drug_name":"Hadlima PushTouch 40 MG/0.4ML SOLN A-INJ [Hadlima PushTouch]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640851","drug_name":"Adalimumab-aacf (2 Syringe) 40 MG/0.8ML PREF SY KT [Adalimumab-aacf (2 Syringe)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640859","drug_name":"Adalimumab-aacf (2 Pen) 40 MG/0.8ML AUT-IJ KIT [Adalimumab-aacf (2 Pen)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640864","drug_name":"Adalimumab-aacf(Ps/UV Starter) 40 MG/0.8ML AUT-IJ KIT [Adalimumab-aacf(Ps/UV Starter)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2640869","drug_name":"Adalimumab-aacf(CD/UC/HS Strt) 40 MG/0.8ML AUT-IJ KIT [Adalimumab-aacf(CD/UC/HS Strt)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2642214","drug_name":"Zeposia Starter Kit 0.23MG &0.46MG 0.92MG(21) CAP THPK [Zeposia Starter Kit]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2642344","drug_name":"Lidocan 5 % PATCH [Lidocan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2642353","drug_name":"Vigadrone 500 MG TAB [Vigadrone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2642809","drug_name":"Fiasp PumpCart 100 UNIT/ML SOLN CART [Fiasp PumpCart]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2643060","drug_name":"Vanflyta 17.7 MG TAB [Vanflyta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2643064","drug_name":"Vanflyta 26.5 MG TAB [Vanflyta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2644512","drug_name":"Xdemvy 0.25 % SOLUTION [Xdemvy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2644523","drug_name":"Ngenla 24 MG/1.2ML SOLN PEN [Ngenla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2644529","drug_name":"Ngenla 60 MG/1.2ML SOLN PEN [Ngenla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2644707","drug_name":"EnilloRing 0.12-0.015 MG/24HR RING [EnilloRing]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2645250","drug_name":"Akeega 50-500 MG TAB [Akeega]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2645253","drug_name":"Akeega 100-500 MG TAB [Akeega]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663918","drug_name":"Xolair 300 MG/2ML SOLN PRSYR [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663923","drug_name":"Xolair 300 MG/2ML SOLN A-INJ [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663966","drug_name":"Sohonos 1 MG CAP [Sohonos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663970","drug_name":"Sohonos 1.5 MG CAP [Sohonos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663974","drug_name":"Sohonos 10 MG CAP [Sohonos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663978","drug_name":"Sohonos 2.5 MG CAP [Sohonos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2663982","drug_name":"Sohonos 5 MG CAP [Sohonos]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665161","drug_name":"Tacrolimus 0.5 MG CAP [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665162","drug_name":"Tacrolimus 1 MG CAP [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665163","drug_name":"Tacrolimus 5 MG CAP [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665216","drug_name":"Ojjaara 100 MG TAB [Ojjaara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665220","drug_name":"Ojjaara 150 MG TAB [Ojjaara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665224","drug_name":"Ojjaara 200 MG TAB [Ojjaara]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665617","drug_name":"Kourzeq 0.1 % PASTE [Kourzeq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2665903","drug_name":"Turqoz 0.3-30 MG-MCG TAB [Turqoz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2667342","drug_name":"Entyvio Pen 108 MG/0.68ML SOLN A-INJ [Entyvio Pen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2668057","drug_name":"Velsipity 2 MG TAB [Velsipity]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2668093","drug_name":"Bimzelx 160 MG/ML SOLN PRSYR [Bimzelx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2668103","drug_name":"Bimzelx 160 MG/ML SOLN A-INJ [Bimzelx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2668482","drug_name":"Vigpoder 500 MG PACKET [Vigpoder]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669472","drug_name":"Zenpep 60000-189600 UNIT CP DR PART [Zenpep]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669706","drug_name":"Zepbound 2.5 MG/0.5ML SOLN A-INJ [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669709","drug_name":"Zepbound 5 MG/0.5ML SOLN A-INJ [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669712","drug_name":"Zepbound 7.5 MG/0.5ML SOLN A-INJ [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669715","drug_name":"Zepbound 10 MG/0.5ML SOLN A-INJ [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669718","drug_name":"Zepbound 12.5 MG/0.5ML SOLN A-INJ [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669721","drug_name":"Zepbound 15 MG/0.5ML SOLN A-INJ [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669916","drug_name":"Zurzuvae 20 MG CAP [Zurzuvae]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669920","drug_name":"Zurzuvae 25 MG CAP [Zurzuvae]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669924","drug_name":"Zurzuvae 30 MG CAP [Zurzuvae]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669978","drug_name":"Truqap 160 MG TAB [Truqap]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2669982","drug_name":"Truqap 200 MG TAB [Truqap]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2670190","drug_name":"Fruzaqla 1 MG CAP [Fruzaqla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2670198","drug_name":"Fruzaqla 5 MG CAP [Fruzaqla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2670643","drug_name":"Ogsiveo 50 MG TAB [Ogsiveo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2670655","drug_name":"Augtyro 40 MG CAP [Augtyro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2671080","drug_name":"Fabhalta 200 MG CAP [Fabhalta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2671684","drug_name":"Zoryve 0.3 % FOAM [Zoryve]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2671950","drug_name":"Wainua 45 MG/0.8ML SOLN A-INJ [Wainua]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2672326","drug_name":"Bosulif 100 MG CAP [Bosulif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2672328","drug_name":"Bosulif 50 MG CAP [Bosulif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2672502","drug_name":"Zilbrysq 16.6 MG/0.416ML SOLN PRSYR [Zilbrysq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2672505","drug_name":"Zilbrysq 23 MG/0.574ML SOLN PRSYR [Zilbrysq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2672507","drug_name":"Zilbrysq 32.4 MG/0.81ML SOLN PRSYR [Zilbrysq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2673205","drug_name":"Iwilfin 192 MG TAB [Iwilfin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2673761","drug_name":"Xolair 150 MG/ML SOLN A-INJ [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2673763","drug_name":"Xolair 75 MG/0.5ML SOLN A-INJ [Xolair]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2675568","drug_name":"Hemlibra 12 MG/0.4ML SOLUTION [Hemlibra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2676585","drug_name":"Clindamycin Phos (Twice-Daily) 1 % GEL [Clindamycin Phos (Twice-Daily)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2677447","drug_name":"Ormalvi 50 MG TAB [Ormalvi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2677771","drug_name":"Opsynvi 10-20 MG TAB [Opsynvi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2677775","drug_name":"Opsynvi 10-40 MG TAB [Opsynvi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2677787","drug_name":"Simlandi (1 Pen) 40 MG/0.4ML AUT-IJ KIT [Simlandi (1 Pen)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2677905","drug_name":"Rezdiffra 100 MG TAB [Rezdiffra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2677909","drug_name":"Rezdiffra 60 MG TAB [Rezdiffra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2677913","drug_name":"Rezdiffra 80 MG TAB [Rezdiffra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2678310","drug_name":"Tridacaine II 5 % PATCH [Tridacaine II]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679323","drug_name":"Zepbound 2.5 MG/0.5ML SOLUTION [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679325","drug_name":"Zepbound 5 MG/0.5ML SOLUTION [Zepbound]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679438","drug_name":"Tyenne 80 MG/4ML SOLUTION [Tyenne]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679441","drug_name":"Tyenne 200 MG/10ML SOLUTION [Tyenne]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679443","drug_name":"Tyenne 400 MG/20ML SOLUTION [Tyenne]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679504","drug_name":"Naloxone HCl 0.4 MG/ML SOLN PRSYR [Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679808","drug_name":"Retevmo 120 MG TAB [Retevmo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679812","drug_name":"Retevmo 160 MG TAB [Retevmo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679814","drug_name":"Retevmo 40 MG TAB [Retevmo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2679816","drug_name":"Retevmo 80 MG TAB [Retevmo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2680140","drug_name":"Vijoice 50 MG PACKET [Vijoice]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2680280","drug_name":"Scemblix 100 MG TAB [Scemblix]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2682430","drug_name":"Otezla 4 x 10 & 51 x20 MG TAB THPK [Otezla]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2682445","drug_name":"Ojemda 25 MG/ML RECON SUSP [Ojemda]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2684952","drug_name":"Iqirvo 80 MG TAB [Iqirvo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2685202","drug_name":"Torpenz 2.5 MG TAB [Torpenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2685204","drug_name":"Torpenz 10 MG TAB [Torpenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2685206","drug_name":"Torpenz 5 MG TAB [Torpenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2685208","drug_name":"Torpenz 7.5 MG TAB [Torpenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2686050","drug_name":"Tyenne 162 MG/0.9ML SOLN A-INJ [Tyenne]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2686057","drug_name":"Tyenne 162 MG/0.9ML SOLN PRSYR [Tyenne]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2686065","drug_name":"Adbry 300 MG/2ML SOLN A-INJ [Adbry]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2687226","drug_name":"Ohtuvayre 3 MG/2.5ML SUSPENSION [Ohtuvayre]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2687712","drug_name":"Zoryve 0.15 % CREAM [Zoryve]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2690265","drug_name":"Crexont 35-140 MG CAP ER [Crexont]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2690281","drug_name":"Crexont 52.5-210 MG CAP ER [Crexont]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2690286","drug_name":"Crexont 70-280 MG CAP ER [Crexont]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2690292","drug_name":"Crexont 87.5-350 MG CAP ER [Crexont]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2690659","drug_name":"Voranigo 10 MG TAB [Voranigo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2690663","drug_name":"Voranigo 40 MG TAB [Voranigo]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2690881","drug_name":"Livdelzi 10 MG CAP [Livdelzi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2690992","drug_name":"Livmarli 19 MG/ML SOLUTION [Livmarli]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2691162","drug_name":"Lazcluze 80 MG TAB [Lazcluze]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2691166","drug_name":"Lazcluze 240 MG TAB [Lazcluze]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2691328","drug_name":"Nemluvio 30 MG A-INJ [Nemluvio]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2692052","drug_name":"Veltassa 1 GM PACKET [Veltassa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693095","drug_name":"Tremfya-CD/UC Induction 200 MG/2ML SOLN A-INJ [Tremfya-CD/UC Induction]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693097","drug_name":"Tremfya 200 MG/2ML SOLN PRSYR [Tremfya]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693253","drug_name":"Potassium Chloride ER 15 MEQ TAB ER [Potassium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693448","drug_name":"Neffy 2 MG/0.1ML SOLUTION [Neffy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693643","drug_name":"Yorvipath 168 MCG/0.56ML SOLN PEN [Yorvipath]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693646","drug_name":"Yorvipath 294 MCG/0.98ML SOLN PEN [Yorvipath]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693648","drug_name":"Yorvipath 420 MCG/1.4ML SOLN PEN [Yorvipath]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2693907","drug_name":"Ebglyss 250 MG/2ML SOLN A-INJ [Ebglyss]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2694850","drug_name":"Cobenfy 50-20 MG CAP [Cobenfy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2694855","drug_name":"Cobenfy 125-30 MG CAP [Cobenfy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2694991","drug_name":"Cobenfy 100-20 MG CAP [Cobenfy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"2694993","drug_name":"Cobenfy Starter Pack 50-20 & 100-20 MG CAP THPK [Cobenfy Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2695433","drug_name":"Itovebi 3 MG TAB [Itovebi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2695437","drug_name":"Itovebi 9 MG TAB [Itovebi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2695789","drug_name":"Vyalev 12-240 MG/ML SOLUTION [Vyalev]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2696255","drug_name":"Gallifrey 5 MG TAB [Gallifrey]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2696878","drug_name":"Augtyro 160 MG CAP [Augtyro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"2698136","drug_name":"Lumryz Starter Pack 4.5 & 6 & 7.5 GM THER PACK [Lumryz Starter Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"282401","drug_name":"lamoTRIgine 25 MG TAB [lamoTRIgine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"282755","drug_name":"Telmisartan 20 MG TAB [Telmisartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283077","drug_name":"prednisoLONE 15 MG/5ML SOLUTION [prednisoLONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283316","drug_name":"Telmisartan-HCTZ 40-12.5 MG TAB [Telmisartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283317","drug_name":"Telmisartan-HCTZ 80-12.5 MG TAB [Telmisartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283406","drug_name":"Mirtazapine 15 MG TAB DISP [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283407","drug_name":"Mirtazapine 30 MG TAB DISP [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283485","drug_name":"Mirtazapine 45 MG TAB DISP [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283523","drug_name":"Gabapentin 250 MG/5ML SOLUTION [Gabapentin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"283535","drug_name":"Doxycycline Hyclate 20 MG TAB [Doxycycline Hyclate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283536","drug_name":"OXcarbazepine 300 MG/5ML SUSPENSION [OXcarbazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283639","drug_name":"OLANZapine 20 MG TAB [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283672","drug_name":"Citalopram Hydrobromide 10 MG TAB [Citalopram Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"283858","drug_name":"rOPINIRole HCl 3 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284008","drug_name":"Travoprost (BAK Free) 0.004 % SOLUTION [Travoprost (BAK Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284204","drug_name":"Almotriptan Malate 6.25 MG TAB [Almotriptan Malate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284205","drug_name":"Almotriptan Malate 12.5 MG TAB [Almotriptan Malate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284215","drug_name":"Clindamycin HCl 300 MG CAP [Clindamycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284245","drug_name":"Famotidine 40 MG TAB [Famotidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284254","drug_name":"Compro 25 MG SUPPOS [Compro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"284587","drug_name":"Valcyte 450 MG TAB [Valcyte]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"285018","drug_name":"Lantus 100 UNIT/ML SOLUTION [Lantus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"307718","drug_name":"Acetylcysteine 10 % SOLUTION [Acetylcysteine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"307719","drug_name":"Acetylcysteine 20 % SOLUTION [Acetylcysteine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"307730","drug_name":"Acyclovir 200 MG/5ML SUSPENSION [Acyclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308047","drug_name":"ALPRAZolam 0.25 MG TAB [ALPRAZolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"308048","drug_name":"ALPRAZolam 0.5 MG TAB [ALPRAZolam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"308135","drug_name":"amLODIPine Besylate 10 MG TAB [amLODIPine Besylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308136","drug_name":"amLODIPine Besylate 2.5 MG TAB [amLODIPine Besylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308177","drug_name":"Amoxicillin 125 MG CHEW TAB [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308182","drug_name":"Amoxicillin 250 MG CAP [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308189","drug_name":"Amoxicillin 400 MG/5ML RECON SUSP [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308191","drug_name":"Amoxicillin 500 MG CAP [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308192","drug_name":"Amoxicillin 500 MG TAB [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308194","drug_name":"Amoxicillin 875 MG TAB [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308212","drug_name":"Ampicillin 500 MG CAP [Ampicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308345","drug_name":"Apraclonidine HCl 0.5 % SOLUTION [Apraclonidine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308429","drug_name":"Atovaquone 750 MG/5ML SUSPENSION [Atovaquone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308459","drug_name":"Azithromycin 100 MG/5ML RECON SUSP [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308460","drug_name":"Azithromycin 250 MG TAB [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308493","drug_name":"Neomycin-Bacitracin Zn-Polymyx 3.5-400-10000  OINTMENT [Neomycin-Bacitracin Zn-Polymyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308508","drug_name":"Bacitracin 500 UNIT/GM OINTMENT [Bacitracin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308714","drug_name":"Clotrimazole-Betamethasone 1-0.05 % CREAM [Clotrimazole-Betamethasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308720","drug_name":"Betaxolol HCl 0.5 % SOLUTION [Betaxolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308724","drug_name":"Bexarotene 1 % GEL [Bexarotene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308725","drug_name":"Bexarotene 75 MG CAP [Bexarotene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308739","drug_name":"Bimatoprost 0.03 % SOLUTION [Bimatoprost]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308805","drug_name":"Brinzolamide 1 % SUSPENSION [Brinzolamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308865","drug_name":"Calcipotriene 0.005 % SOLUTION [Calcipotriene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308866","drug_name":"Calcitonin (Salmon) 200 UNIT/ML SOLUTION [Calcitonin (Salmon)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308867","drug_name":"Calcitriol 0.25 MCG CAP [Calcitriol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308868","drug_name":"Calcitriol 0.5 MCG CAP [Calcitriol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308962","drug_name":"Captopril 100 MG TAB [Captopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308963","drug_name":"Captopril 12.5 MG TAB [Captopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308964","drug_name":"Captopril 50 MG TAB [Captopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308971","drug_name":"TEGretol 100 MG/5ML SUSPENSION [TEGretol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308972","drug_name":"TEGretol 200 MG TAB [TEGretol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308973","drug_name":"CarBAMazepine 100 MG CHEW TAB [CarBAMazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308976","drug_name":"carBAMazepine 100 MG/5ML SUSPENSION [carBAMazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308977","drug_name":"Carbatrol 200 MG CAP ER 12H [Carbatrol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308979","drug_name":"carBAMazepine 200 MG TAB [carBAMazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308988","drug_name":"Carbidopa-Levodopa ER 25-100 MG TAB ER [Carbidopa-Levodopa ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"308989","drug_name":"Carbidopa-Levodopa ER 50-200 MG TAB ER [Carbidopa-Levodopa ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309045","drug_name":"Cefaclor 250 MG CAP [Cefaclor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309047","drug_name":"Cefadroxil 1 GM TAB [Cefadroxil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309048","drug_name":"Cefadroxil 250 MG/5ML RECON SUSP [Cefadroxil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309049","drug_name":"Cefadroxil 500 MG CAP [Cefadroxil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309054","drug_name":"Cefdinir 125 MG/5ML RECON SUSP [Cefdinir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309058","drug_name":"Cefixime 100 MG/5ML RECON SUSP [Cefixime]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309076","drug_name":"Cefpodoxime Proxetil 100 MG TAB [Cefpodoxime Proxetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309077","drug_name":"Cefpodoxime Proxetil 100 MG/5ML RECON SUSP [Cefpodoxime Proxetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309078","drug_name":"Cefpodoxime Proxetil 200 MG TAB [Cefpodoxime Proxetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309079","drug_name":"Cefpodoxime Proxetil 50 MG/5ML RECON SUSP [Cefpodoxime Proxetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309080","drug_name":"Cefprozil 125 MG/5ML RECON SUSP [Cefprozil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309081","drug_name":"Cefprozil 250 MG/5ML RECON SUSP [Cefprozil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309097","drug_name":"Cefuroxime Axetil 250 MG TAB [Cefuroxime Axetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309098","drug_name":"Cefuroxime Axetil 500 MG TAB [Cefuroxime Axetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309110","drug_name":"Cephalexin 125 MG/5ML RECON SUSP [Cephalexin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309112","drug_name":"Cephalexin 250 MG CAP [Cephalexin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309113","drug_name":"Cephalexin 250 MG/5ML RECON SUSP [Cephalexin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309114","drug_name":"Cephalexin 500 MG CAP [Cephalexin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309140","drug_name":"Cevimeline HCl 30 MG CAP [Cevimeline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309289","drug_name":"Ciclopirox Olamine 0.77 % CREAM [Ciclopirox Olamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309291","drug_name":"Ciclopirox 8 % SOLUTION [Ciclopirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309307","drug_name":"Ciprofloxacin HCl 0.3 % SOLUTION [Ciprofloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309309","drug_name":"Ciprofloxacin HCl 500 MG TAB [Ciprofloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309313","drug_name":"Citalopram Hydrobromide 10 MG/5ML SOLUTION [Citalopram Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309314","drug_name":"Citalopram Hydrobromide 40 MG TAB [Citalopram Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309322","drug_name":"Clarithromycin 250 MG/5ML RECON SUSP [Clarithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309329","drug_name":"Clindamycin HCl 75 MG CAP [Clindamycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309332","drug_name":"Clindamycin Phos (Once-Daily) 1 % GEL [Clindamycin Phos (Once-Daily)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309333","drug_name":"Clindamycin Phosphate 1 % SOLUTION [Clindamycin Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309337","drug_name":"Clindamycin Phosphate 2 % CREAM [Clindamycin Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309362","drug_name":"Clopidogrel Bisulfate 75 MG TAB [Clopidogrel Bisulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"309371","drug_name":"Clotrimazole 10 MG TROCHE [Clotrimazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309374","drug_name":"cloZAPine 200 MG TAB [cloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309594","drug_name":"Cyanocobalamin 1000 MCG/ML SOLUTION [Cyanocobalamin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309679","drug_name":"Neomycin-Polymyxin-Dexameth 3.5-10000-0.1  OINTMENT [Neomycin-Polymyxin-Dexameth]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309680","drug_name":"Neomycin-Polymyxin-Dexameth 0.1 % SUSPENSION [Neomycin-Polymyxin-Dexameth]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309683","drug_name":"Tobramycin-Dexamethasone 0.3-0.1 % SUSPENSION [Tobramycin-Dexamethasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309684","drug_name":"Dexamethasone Intensol 1 MG/ML CONC [Dexamethasone Intensol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309686","drug_name":"Dexamethasone 0.5 MG/5ML ELIXIR [Dexamethasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309843","drug_name":"diazePAM 5 MG/5ML SOLUTION [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"309844","drug_name":"diazePAM 5 MG/ML CONC [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"309952","drug_name":"Dipyridamole 25 MG TAB [Dipyridamole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309955","drug_name":"Dipyridamole 75 MG TAB [Dipyridamole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309958","drug_name":"Disopyramide Phosphate 100 MG CAP [Disopyramide Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"309960","drug_name":"Disopyramide Phosphate 150 MG CAP [Disopyramide Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310003","drug_name":"Dofetilide 125 MCG CAP [Dofetilide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310004","drug_name":"Dofetilide 250 MCG CAP [Dofetilide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310005","drug_name":"Dofetilide 500 MCG CAP [Dofetilide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310015","drug_name":"Dorzolamide HCl 2 % SOLUTION [Dorzolamide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310149","drug_name":"Erythromycin 5 MG/GM OINTMENT [Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310152","drug_name":"Erythromycin 2 % GEL [Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310154","drug_name":"Erythromycin Base 250 MG CP DR PART [Erythromycin Base]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310155","drug_name":"Erythromycin 250 MG TAB DR [Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310157","drug_name":"Erythromycin 500 MG TAB DR [Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310169","drug_name":"Estradiol 0.01 % CREAM [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310189","drug_name":"Estradiol Valerate 10 MG/ML OIL [Estradiol Valerate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310190","drug_name":"Estradiol Valerate 20 MG/ML OIL [Estradiol Valerate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310191","drug_name":"Estradiol Valerate 40 MG/ML OIL [Estradiol Valerate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310245","drug_name":"Etodolac ER 400 MG TAB ER 24H [Etodolac ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310247","drug_name":"Etodolac ER 600 MG TAB ER 24H [Etodolac ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310261","drug_name":"Exemestane 25 MG TAB [Exemestane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310274","drug_name":"Famotidine 40 MG/5ML RECON SUSP [Famotidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310285","drug_name":"Felbamate 600 MG/5ML SUSPENSION [Felbamate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310288","drug_name":"Fenofibrate 134 MG CAP [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310289","drug_name":"Fenofibrate 200 MG CAP [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310291","drug_name":"Fenoprofen Calcium 600 MG TAB [Fenoprofen Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310293","drug_name":"FentaNYL Citrate 1200 MCG LOZ HANDLE [FentaNYL Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"310294","drug_name":"FentaNYL Citrate 1600 MCG LOZ HANDLE [FentaNYL Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"310295","drug_name":"FentaNYL Citrate 200 MCG LOZ HANDLE [FentaNYL Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"310297","drug_name":"FentaNYL Citrate 400 MCG LOZ HANDLE [FentaNYL Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"310346","drug_name":"Finasteride 5 MG TAB [Finasteride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310352","drug_name":"Fluconazole 10 MG/ML RECON SUSP [Fluconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310353","drug_name":"Fluconazole 40 MG/ML RECON SUSP [Fluconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310362","drug_name":"Fluocinonide 0.05 % GEL [Fluocinonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310364","drug_name":"Fluocinonide 0.05 % SOLUTION [Fluocinonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310377","drug_name":"Fluorometholone 0.1 % SUSPENSION [Fluorometholone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310379","drug_name":"Fluorouracil 2 % SOLUTION [Fluorouracil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310380","drug_name":"Fluorouracil 5 % SOLUTION [Fluorouracil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310384","drug_name":"FLUoxetine HCl 10 MG CAP [FLUoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310385","drug_name":"FLUoxetine HCl 20 MG CAP [FLUoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310386","drug_name":"FLUoxetine HCl 20 MG/5ML SOLUTION [FLUoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310404","drug_name":"Fluvastatin Sodium 20 MG CAP [Fluvastatin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310405","drug_name":"Fluvastatin Sodium 40 MG CAP [Fluvastatin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310410","drug_name":"Folic Acid 1 MG TAB [Folic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310429","drug_name":"Furosemide 20 MG TAB [Furosemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310430","drug_name":"Gabapentin 100 MG CAP [Gabapentin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310431","drug_name":"Gabapentin 300 MG CAP [Gabapentin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310432","drug_name":"Gabapentin 400 MG CAP [Gabapentin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310433","drug_name":"Gabapentin 600 MG TAB [Gabapentin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310434","drug_name":"Gabapentin 800 MG TAB [Gabapentin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310436","drug_name":"Galantamine Hydrobromide 4 MG TAB [Galantamine Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310437","drug_name":"Galantamine Hydrobromide 8 MG TAB [Galantamine Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310459","drug_name":"Gemfibrozil 600 MG TAB [Gemfibrozil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310465","drug_name":"Gentamicin Sulfate 0.1 % OINTMENT [Gentamicin Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310467","drug_name":"Gentamicin Sulfate 0.3 % SOLUTION [Gentamicin Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310488","drug_name":"glipiZIDE 10 MG TAB [glipiZIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310489","drug_name":"glipiZIDE ER 2.5 MG TAB ER 24H [glipiZIDE ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310490","drug_name":"glipiZIDE 5 MG TAB [glipiZIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310497","drug_name":"Glucagon Emergency 1 MG/ML RECON SOLN [Glucagon Emergency]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310534","drug_name":"glyBURIDE 2.5 MG TAB [glyBURIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310536","drug_name":"GlyBURIDE Micronized 3 MG TAB [GlyBURIDE Micronized]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310537","drug_name":"glyBURIDE 5 MG TAB [glyBURIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310539","drug_name":"GlyBURIDE Micronized 6 MG TAB [GlyBURIDE Micronized]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310594","drug_name":"Neomycin-Polymyxin-Gramicidin 1.75-10000-.025  SOLUTION [Neomycin-Polymyxin-Gramicidin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310599","drug_name":"Granisetron HCl 1 MG TAB [Granisetron HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310600","drug_name":"Griseofulvin Microsize 500 MG TAB [Griseofulvin Microsize]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310670","drug_name":"Haloperidol 0.5 MG TAB [Haloperidol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310671","drug_name":"Haloperidol 1 MG TAB [Haloperidol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310672","drug_name":"Haloperidol 5 MG TAB [Haloperidol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310687","drug_name":"Neomycin-Polymyxin-HC 3.5-10000-1  SUSPENSION [Neomycin-Polymyxin-HC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310792","drug_name":"Irbesartan-Hydrochlorothiazide 150-12.5 MG TAB [Irbesartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310793","drug_name":"Irbesartan-Hydrochlorothiazide 300-12.5 MG TAB [Irbesartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310796","drug_name":"Quinapril-hydroCHLOROthiazide 10-12.5 MG TAB [Quinapril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310797","drug_name":"Quinapril-hydroCHLOROthiazide 20-12.5 MG TAB [Quinapril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310798","drug_name":"hydroCHLOROthiazide 25 MG TAB [hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310809","drug_name":"Quinapril-hydroCHLOROthiazide 20-25 MG TAB [Quinapril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310812","drug_name":"Triamterene-HCTZ 37.5-25 MG TAB [Triamterene-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310818","drug_name":"Triamterene-HCTZ 75-50 MG TAB [Triamterene-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310878","drug_name":"Hydrocortisone 100 MG/60ML ENEMA [Hydrocortisone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310891","drug_name":"Hydrocortisone (Perianal) 2.5 % CREAM [Hydrocortisone (Perianal)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310982","drug_name":"Imiquimod 5 % CREAM [Imiquimod]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310992","drug_name":"Indomethacin ER 75 MG CAP ER [Indomethacin ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"310994","drug_name":"inFLIXimab 100 MG RECON SOLN [inFLIXimab]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311026","drug_name":"HumuLIN N 100 UNIT/ML SUSPENSION [HumuLIN N]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311027","drug_name":"NovoLIN N 100 UNIT/ML SUSPENSION [NovoLIN N]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311033","drug_name":"NovoLIN R 100 UNIT/ML SOLUTION [NovoLIN R]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311036","drug_name":"HumuLIN R 100 UNIT/ML SOLUTION [HumuLIN R]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311040","drug_name":"Insulin Aspart 100 UNIT/ML SOLUTION [Insulin Aspart]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311166","drug_name":"Isoniazid 100 MG TAB [Isoniazid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311192","drug_name":"Isosorbide Mononitrate 10 MG TAB [Isosorbide Mononitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311196","drug_name":"Isosorbide Mononitrate ER 120 MG TAB ER 24H [Isosorbide Mononitrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311197","drug_name":"Isosorbide Mononitrate 20 MG TAB [Isosorbide Mononitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311204","drug_name":"Itraconazole 100 MG CAP [Itraconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311207","drug_name":"Ivermectin 3 MG TAB [Ivermectin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311264","drug_name":"lamoTRIgine 25 MG CHEW TAB [lamoTRIgine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311265","drug_name":"lamoTRIgine 5 MG CHEW TAB [lamoTRIgine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311277","drug_name":"Lansoprazole 30 MG CAP DR [Lansoprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311286","drug_name":"Levalbuterol HCl 0.63 MG/3ML NEBU SOLN [Levalbuterol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311288","drug_name":"levETIRAcetam 250 MG TAB [levETIRAcetam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311289","drug_name":"levETIRAcetam 500 MG TAB [levETIRAcetam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311290","drug_name":"levETIRAcetam 750 MG TAB [levETIRAcetam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311296","drug_name":"levoFLOXacin 750 MG TAB [levoFLOXacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311345","drug_name":"Linezolid 100 MG/5ML RECON SUSP [Linezolid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311347","drug_name":"Linezolid 600 MG TAB [Linezolid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311353","drug_name":"Lisinopril 2.5 MG TAB [Lisinopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311354","drug_name":"Lisinopril 5 MG TAB [Lisinopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311355","drug_name":"Lithium Carbonate 150 MG CAP [Lithium Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311369","drug_name":"Lopinavir-Ritonavir 400-100 MG/5ML SOLUTION [Lopinavir-Ritonavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311376","drug_name":"LORazepam 2 MG/ML CONC [LORazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"311381","drug_name":"Loteprednol Etabonate 0.2 % SUSPENSION [Loteprednol Etabonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311382","drug_name":"Loteprednol Etabonate 0.5 % SUSPENSION [Loteprednol Etabonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311385","drug_name":"Loxapine Succinate 25 MG CAP [Loxapine Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311386","drug_name":"Loxapine Succinate 5 MG CAP [Loxapine Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311486","drug_name":"Meloxicam 7.5 MG TAB [Meloxicam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311625","drug_name":"Methotrexate Sodium 1 GM RECON SOLN [Methotrexate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311666","drug_name":"Metoclopramide HCl 10 MG TAB [Metoclopramide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311668","drug_name":"Metoclopramide HCl 5 MG TAB [Metoclopramide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311671","drug_name":"metOLazone 5 MG TAB [metOLazone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311678","drug_name":"metroNIDAZOLE 0.75 % CREAM [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311679","drug_name":"metroNIDAZOLE 0.75 % GEL [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311681","drug_name":"metroNIDAZOLE 500 MG TAB [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311725","drug_name":"Mirtazapine 15 MG TAB [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311726","drug_name":"Mirtazapine 45 MG TAB [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311727","drug_name":"miSOPROStol 100 MCG TAB [miSOPROStol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311753","drug_name":"Mometasone Furoate 0.1 % CREAM [Mometasone Furoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311759","drug_name":"Montelukast Sodium 4 MG CHEW TAB [Montelukast Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311787","drug_name":"Moxifloxacin HCl 400 MG TAB [Moxifloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311880","drug_name":"Mycophenolate Mofetil 200 MG/ML RECON SUSP [Mycophenolate Mofetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311892","drug_name":"Nabumetone 500 MG TAB [Nabumetone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311893","drug_name":"Nabumetone 750 MG TAB [Nabumetone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311918","drug_name":"Naratriptan HCl 1 MG TAB [Naratriptan HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311919","drug_name":"Nateglinide 120 MG TAB [Nateglinide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311943","drug_name":"Nevirapine 50 MG/5ML SUSPENSION [Nevirapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311982","drug_name":"Nilutamide 150 MG TAB [Nilutamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311989","drug_name":"Nitrofurantoin 25 MG/5ML SUSPENSION [Nitrofurantoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311994","drug_name":"Nitrofurantoin Macrocrystal 25 MG CAP [Nitrofurantoin Macrocrystal]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"311995","drug_name":"Nitrofurantoin Macrocrystal 50 MG CAP [Nitrofurantoin Macrocrystal]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312025","drug_name":"Nizatidine 150 MG CAP [Nizatidine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312036","drug_name":"Nortriptyline HCl 10 MG/5ML SOLUTION [Nortriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312055","drug_name":"Nystatin 100000 UNIT/ML SUSPENSION [Nystatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312059","drug_name":"Nystatin 500000 UNIT TAB [Nystatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312068","drug_name":"Octreotide Acetate 50 MCG/ML SOLUTION [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312069","drug_name":"Octreotide Acetate 100 MCG/ML SOLUTION [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312070","drug_name":"Octreotide Acetate 500 MCG/ML SOLUTION [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312071","drug_name":"Octreotide Acetate 1000 MCG/ML SOLUTION [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312075","drug_name":"Ofloxacin 0.3 % SOLUTION [Ofloxacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312076","drug_name":"OLANZapine 10 MG TAB DISP [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312077","drug_name":"OLANZapine 15 MG TAB [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312078","drug_name":"OLANZapine 5 MG TAB [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312079","drug_name":"OLANZapine 7.5 MG TAB [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312085","drug_name":"Ondansetron HCl 4 MG/5ML SOLUTION [Ondansetron HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312086","drug_name":"Ondansetron HCl 8 MG TAB [Ondansetron HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312087","drug_name":"Ondansetron 8 MG TAB DISP [Ondansetron]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312122","drug_name":"Oseltamivir Phosphate 75 MG CAP [Oseltamivir Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312132","drug_name":"Oxaprozin 600 MG TAB [Oxaprozin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312134","drug_name":"Oxazepam 15 MG CAP [Oxazepam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"312136","drug_name":"OXcarbazepine 150 MG TAB [OXcarbazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312137","drug_name":"OXcarbazepine 300 MG TAB [OXcarbazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312138","drug_name":"OXcarbazepine 600 MG TAB [OXcarbazepine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312139","drug_name":"Oxiconazole Nitrate 1 % CREAM [Oxiconazole Nitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312242","drug_name":"PARoxetine HCl 10 MG/5ML SUSPENSION [PARoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312255","drug_name":"Penciclovir 1 % CREAM [Penciclovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312289","drug_name":"Pentazocine-Naloxone HCl 50-0.5 MG TAB [Pentazocine-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"312301","drug_name":"Pentoxifylline ER 400 MG TAB ER [Pentoxifylline ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312347","drug_name":"Phenelzine Sulfate 15 MG TAB [Phenelzine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312357","drug_name":"PHENobarbital 15 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312362","drug_name":"PHENobarbital 30 MG TAB [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312439","drug_name":"Pimozide 1 MG TAB [Pimozide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312440","drug_name":"Pioglitazone HCl 30 MG TAB [Pioglitazone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312441","drug_name":"Pioglitazone HCl 45 MG TAB [Pioglitazone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312504","drug_name":"Potassium Chloride ER 10 MEQ CAP ER [Potassium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312515","drug_name":"Potassium Chloride 10 % SOLUTION [Potassium Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312529","drug_name":"Potassium Chloride ER 8 MEQ TAB ER [Potassium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312593","drug_name":"Prazosin HCl 1 MG CAP [Prazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312594","drug_name":"Prazosin HCl 2 MG CAP [Prazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312614","drug_name":"prednisoLONE Sodium Phosphate 6.7 (5 Base) MG/5ML SOLUTION [prednisoLONE Sodium Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312615","drug_name":"predniSONE 20 MG TAB [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312617","drug_name":"predniSONE 5 MG TAB [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312635","drug_name":"Prochlorperazine Maleate 5 MG TAB [Prochlorperazine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312641","drug_name":"Progesterone 200 MG CAP [Progesterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312644","drug_name":"Progesterone 50 MG/ML OIL [Progesterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312743","drug_name":"QUEtiapine Fumarate 100 MG TAB [QUEtiapine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312744","drug_name":"QUEtiapine Fumarate 25 MG TAB [QUEtiapine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312745","drug_name":"QUEtiapine Fumarate 300 MG TAB [QUEtiapine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312748","drug_name":"Quinapril HCl 10 MG TAB [Quinapril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312749","drug_name":"Quinapril HCl 20 MG TAB [Quinapril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312750","drug_name":"Quinapril HCl 5 MG TAB [Quinapril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312817","drug_name":"Ribavirin 200 MG CAP [Ribavirin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312828","drug_name":"risperiDONE 0.25 MG TAB [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312829","drug_name":"risperiDONE 0.5 MG TAB [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312830","drug_name":"risperiDONE 1 MG TAB [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312831","drug_name":"risperiDONE 2 MG TAB [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312832","drug_name":"risperiDONE 3 MG TAB [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312835","drug_name":"Rivastigmine Tartrate 3 MG CAP [Rivastigmine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312836","drug_name":"Rivastigmine Tartrate 6 MG CAP [Rivastigmine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312837","drug_name":"Rizatriptan Benzoate 10 MG TAB DISP [Rizatriptan Benzoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"312839","drug_name":"Rizatriptan Benzoate 5 MG TAB DISP [Rizatriptan Benzoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"312840","drug_name":"Rizatriptan Benzoate 5 MG TAB [Rizatriptan Benzoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"312845","drug_name":"rOPINIRole HCl 0.25 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312846","drug_name":"rOPINIRole HCl 0.5 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312847","drug_name":"rOPINIRole HCl 2 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312849","drug_name":"rOPINIRole HCl 5 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312938","drug_name":"Sertraline HCl 100 MG TAB [Sertraline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312940","drug_name":"Sertraline HCl 25 MG TAB [Sertraline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312941","drug_name":"Sertraline HCl 50 MG TAB [Sertraline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312961","drug_name":"Simvastatin 20 MG TAB [Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"312962","drug_name":"Simvastatin 5 MG TAB [Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313096","drug_name":"Spironolactone 25 MG TAB [Spironolactone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313125","drug_name":"Sulconazole Nitrate 1 % SOLUTION [Sulconazole Nitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313134","drug_name":"Sulfamethoxazole-Trimethoprim 200-40 MG/5ML SUSPENSION [Sulfamethoxazole-Trimethoprim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313142","drug_name":"sulfaSALAzine 500 MG TAB DR [sulfaSALAzine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313159","drug_name":"SUMAtriptan 5 MG/ACT SOLUTION [SUMAtriptan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313160","drug_name":"SUMAtriptan Succinate 100 MG TAB [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313161","drug_name":"SUMAtriptan Succinate 50 MG TAB [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313165","drug_name":"SUMAtriptan Succinate 6 MG/0.5ML SOLUTION [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313189","drug_name":"Tacrolimus 0.03 % OINTMENT [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313190","drug_name":"Tacrolimus 0.5 MG CAP [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313195","drug_name":"Tamoxifen Citrate 20 MG TAB [Tamoxifen Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313199","drug_name":"Tazarotene 0.05 % GEL [Tazarotene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313201","drug_name":"Tazarotene 0.1 % GEL [Tazarotene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313209","drug_name":"Temozolomide 20 MG CAP [Temozolomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313210","drug_name":"Temozolomide 250 MG CAP [Temozolomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313211","drug_name":"Temozolomide 5 MG CAP [Temozolomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313215","drug_name":"Terazosin HCl 1 MG CAP [Terazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313217","drug_name":"Terazosin HCl 2 MG CAP [Terazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313219","drug_name":"Terazosin HCl 5 MG CAP [Terazosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313222","drug_name":"Terbinafine HCl 250 MG TAB [Terbinafine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313226","drug_name":"Terconazole 0.4 % CREAM [Terconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313227","drug_name":"Terconazole 0.8 % CREAM [Terconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313291","drug_name":"Theophylline ER 400 MG TAB ER 24H [Theophylline ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313306","drug_name":"Theophylline 80 MG/15ML ELIXIR [Theophylline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313354","drug_name":"Thioridazine HCl 10 MG TAB [Thioridazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313361","drug_name":"Thiothixene 10 MG CAP [Thiothixene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313362","drug_name":"Thiothixene 1 MG CAP [Thiothixene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313364","drug_name":"Thiothixene 2 MG CAP [Thiothixene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313366","drug_name":"Thiothixene 5 MG CAP [Thiothixene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313407","drug_name":"Timolol Maleate 0.25 % GEL F SOLN [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313408","drug_name":"Timolol Maleate 0.5 % GEL F SOLN [Timolol Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313412","drug_name":"tiZANidine HCl 2 MG TAB [tiZANidine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313413","drug_name":"tiZANidine HCl 4 MG TAB [tiZANidine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313415","drug_name":"Tobramycin 0.3 % SOLUTION [Tobramycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313428","drug_name":"Toremifene Citrate 60 MG TAB [Toremifene Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313447","drug_name":"Tranylcypromine Sulfate 10 MG TAB [Tranylcypromine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313450","drug_name":"Tretinoin 0.01 % GEL [Tretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313472","drug_name":"Trientine HCl 250 MG CAP [Trientine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313477","drug_name":"Trifluridine 1 % SOLUTION [Trifluridine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313496","drug_name":"Trimipramine Maleate 100 MG CAP [Trimipramine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313498","drug_name":"Trimipramine Maleate 25 MG CAP [Trimipramine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313499","drug_name":"Trimipramine Maleate 50 MG CAP [Trimipramine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313564","drug_name":"valACYclovir HCl 1 GM TAB [valACYclovir HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313565","drug_name":"valACYclovir HCl 500 MG TAB [valACYclovir HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313566","drug_name":"valGANciclovir HCl 450 MG TAB [valGANciclovir HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313570","drug_name":"Vancomycin HCl 125 MG CAP [Vancomycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313571","drug_name":"Vancomycin HCl 250 MG CAP [Vancomycin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313580","drug_name":"Venlafaxine HCl 100 MG TAB [Venlafaxine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313581","drug_name":"Venlafaxine HCl ER 150 MG CAP ER 24H [Venlafaxine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313582","drug_name":"Venlafaxine HCl 25 MG TAB [Venlafaxine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313583","drug_name":"Venlafaxine HCl ER 37.5 MG CAP ER 24H [Venlafaxine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313584","drug_name":"Venlafaxine HCl 37.5 MG TAB [Venlafaxine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313585","drug_name":"Venlafaxine HCl ER 75 MG CAP ER 24H [Venlafaxine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313586","drug_name":"Venlafaxine HCl 75 MG TAB [Venlafaxine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313758","drug_name":"Zafirlukast 10 MG TAB [Zafirlukast]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313761","drug_name":"Zaleplon 10 MG CAP [Zaleplon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313762","drug_name":"Zaleplon 5 MG CAP [Zaleplon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313776","drug_name":"Ziprasidone HCl 40 MG CAP [Ziprasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313777","drug_name":"Ziprasidone HCl 60 MG CAP [Ziprasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313778","drug_name":"Ziprasidone HCl 80 MG CAP [Ziprasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313786","drug_name":"Hydrocortisone-Acetic Acid 1-2 % SOLUTION [Hydrocortisone-Acetic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313797","drug_name":"Amoxicillin 125 MG/5ML RECON SUSP [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313850","drug_name":"Amoxicillin 200 MG/5ML RECON SUSP [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313852","drug_name":"Adapalene 0.1 % CREAM [Adapalene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313919","drug_name":"Calcitonin (Salmon) 200 UNIT/ACT SOLUTION [Calcitonin (Salmon)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313921","drug_name":"Calcipotriene 0.005 % CREAM [Calcipotriene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313931","drug_name":"Carbatrol 300 MG CAP ER 12H [Carbatrol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313941","drug_name":"Ciclopirox 0.77 % GEL [Ciclopirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313979","drug_name":"Fludrocortisone Acetate 0.1 MG TAB [Fludrocortisone Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313988","drug_name":"Furosemide 40 MG TAB [Furosemide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313989","drug_name":"FLUoxetine HCl 40 MG CAP [FLUoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"313992","drug_name":"FentaNYL Citrate 600 MCG LOZ HANDLE [FentaNYL Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"313993","drug_name":"FentaNYL Citrate 800 MCG LOZ HANDLE [FentaNYL Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"314000","drug_name":"GlyBURIDE Micronized 1.5 MG TAB [GlyBURIDE Micronized]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314006","drug_name":"glipiZIDE ER 5 MG TAB ER 24H [glipiZIDE ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314034","drug_name":"Haloperidol 2 MG TAB [Haloperidol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314035","drug_name":"Haloperidol 10 MG TAB [Haloperidol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314055","drug_name":"Isosorbide Dinitrate 5 MG TAB [Isosorbide Dinitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314072","drug_name":"Latanoprost 0.005 % SOLUTION [Latanoprost]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314075","drug_name":"Loxapine Succinate 50 MG CAP [Loxapine Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314076","drug_name":"Lisinopril 10 MG TAB [Lisinopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314077","drug_name":"Lisinopril 20 MG TAB [Lisinopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314078","drug_name":"Loxapine Succinate 10 MG CAP [Loxapine Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314080","drug_name":"levoFLOXacin 0.5 % SOLUTION [levoFLOXacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314088","drug_name":"Methscopolamine Bromide 2.5 MG TAB [Methscopolamine Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314106","drug_name":"metroNIDAZOLE 250 MG TAB [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314108","drug_name":"Minocycline HCl 75 MG CAP [Minocycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314111","drug_name":"Mirtazapine 30 MG TAB [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314135","drug_name":"Naratriptan HCl 2.5 MG TAB [Naratriptan HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314142","drug_name":"Nateglinide 60 MG TAB [Nateglinide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314152","drug_name":"Octreotide Acetate 200 MCG/ML SOLUTION [Octreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314154","drug_name":"OLANZapine 10 MG TAB [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314155","drug_name":"OLANZapine 5 MG TAB DISP [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314165","drug_name":"PrednisoLONE Sodium Phosphate 1 % SOLUTION [PrednisoLONE Sodium Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314182","drug_name":"Potassium Chloride 40 MEQ/15ML (20%) SOLUTION [Potassium Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314200","drug_name":"Pantoprazole Sodium 40 MG TAB DR [Pantoprazole Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314203","drug_name":"Quinapril HCl 40 MG TAB [Quinapril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314208","drug_name":"rOPINIRole HCl 1 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314209","drug_name":"Rizatriptan Benzoate 10 MG TAB [Rizatriptan Benzoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"314211","drug_name":"risperiDONE 4 MG TAB [risperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314214","drug_name":"Rivastigmine Tartrate 1.5 MG CAP [Rivastigmine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314215","drug_name":"Rivastigmine Tartrate 4.5 MG CAP [Rivastigmine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314227","drug_name":"SUMAtriptan 20 MG/ACT SOLUTION [SUMAtriptan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314230","drug_name":"Sirolimus 1 MG/ML SOLUTION [Sirolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314231","drug_name":"Simvastatin 10 MG TAB [Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314234","drug_name":"Sucralfate 1 GM TAB [Sucralfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314241","drug_name":"Theophylline ER 450 MG TAB ER 12H [Theophylline ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314266","drug_name":"Tacrolimus 0.1 % OINTMENT [Tacrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314268","drug_name":"Tazarotene 0.05 % CREAM [Tazarotene]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314277","drug_name":"Venlafaxine HCl 50 MG TAB [Venlafaxine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314285","drug_name":"Zonisamide 100 MG CAP [Zonisamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"314286","drug_name":"Ziprasidone HCl 20 MG CAP [Ziprasidone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"315090","drug_name":"Erythromycin 333 MG TAB DR [Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"315107","drug_name":"glipiZIDE ER 10 MG TAB ER 24H [glipiZIDE ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"315183","drug_name":"Potassium Chloride ER 8 MEQ CAP ER [Potassium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"315187","drug_name":"PredniSONE 5 MG/5ML SOLUTION [PredniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"315223","drug_name":"SUMAtriptan Succinate 25 MG TAB [SUMAtriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"317094","drug_name":"Entacapone 200 MG TAB [Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317110","drug_name":"Isosorbide Mononitrate ER 30 MG TAB ER 24H [Isosorbide Mononitrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317128","drug_name":"miSOPROStol 200 MCG TAB [miSOPROStol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317136","drug_name":"Nortriptyline HCl 25 MG CAP [Nortriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317160","drug_name":"Temozolomide 100 MG CAP [Temozolomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317173","drug_name":"Captopril 25 MG TAB [Captopril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317174","drug_name":"QUEtiapine Fumarate 200 MG TAB [QUEtiapine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317573","drug_name":"Pioglitazone HCl 15 MG TAB [Pioglitazone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"317769","drug_name":"Theophylline ER 300 MG TAB ER 12H [Theophylline ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"318179","drug_name":"Ergoloid Mesylates 1 MG TAB [Ergoloid Mesylates]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"318202","drug_name":"Erythromycin 2 % SOLUTION [Erythromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"328160","drug_name":"CycloSPORINE 100 MG CAP [CycloSPORINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"328161","drug_name":"methylPREDNISolone 16 MG TAB [methylPREDNISolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"328176","drug_name":"Primidone 125 MG TAB [Primidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"343033","drug_name":"dexAMETHasone 0.75 MG TAB [dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"348472","drug_name":"Theophylline ER 600 MG TAB ER 24H [Theophylline ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"348506","drug_name":"Itraconazole 10 MG/ML SOLUTION [Itraconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"348719","drug_name":"Tobramycin 300 MG/5ML NEBU SOLN [Tobramycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349094","drug_name":"Budesonide 0.25 MG/2ML SUSPENSION [Budesonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349194","drug_name":"clonazePAM 0.125 MG TAB DISP [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349195","drug_name":"clonazePAM 0.25 MG TAB DISP [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349196","drug_name":"clonazePAM 1 MG TAB DISP [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349197","drug_name":"clonazePAM 2 MG TAB DISP [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349198","drug_name":"clonazePAM 0.5 MG TAB DISP [clonazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349199","drug_name":"Valsartan 80 MG TAB [Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349200","drug_name":"Valsartan 320 MG TAB [Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349201","drug_name":"Valsartan 160 MG TAB [Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349208","drug_name":"Sirolimus 1 MG TAB [Sirolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349251","drug_name":"Tenofovir Disoproxil Fumarate 300 MG TAB [Tenofovir Disoproxil Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349253","drug_name":"Bosentan 62.5 MG TAB [Bosentan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349287","drug_name":"Fenofibrate 160 MG TAB [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349332","drug_name":"Escitalopram Oxalate 10 MG TAB [Escitalopram Oxalate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349351","drug_name":"Desonide 0.05 % CREAM [Desonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349353","drug_name":"Valsartan-Hydrochlorothiazide 160-25 MG TAB [Valsartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349373","drug_name":"Olmesartan Medoxomil 5 MG TAB [Olmesartan Medoxomil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349401","drug_name":"Olmesartan Medoxomil 20 MG TAB [Olmesartan Medoxomil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349405","drug_name":"Olmesartan Medoxomil 40 MG TAB [Olmesartan Medoxomil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349407","drug_name":"Treprostinil 20 MG/20ML SOLUTION [Treprostinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349408","drug_name":"Treprostinil 200 MG/20ML SOLUTION [Treprostinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349409","drug_name":"Treprostinil 50 MG/20ML SOLUTION [Treprostinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349410","drug_name":"Treprostinil 100 MG/20ML SOLUTION [Treprostinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349420","drug_name":"Desloratadine 5 MG TAB [Desloratadine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349434","drug_name":"Voriconazole 200 MG TAB [Voriconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349435","drug_name":"Voriconazole 50 MG TAB [Voriconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349462","drug_name":"Frovatriptan Succinate 2.5 MG TAB [Frovatriptan Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349472","drug_name":"Gefitinib 250 MG TAB [Gefitinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349477","drug_name":"Efavirenz 600 MG TAB [Efavirenz]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349482","drug_name":"Sodium Oxybate 500 MG/ML SOLUTION [Sodium Oxybate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349483","drug_name":"Valsartan 40 MG TAB [Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349490","drug_name":"ARIPiprazole 15 MG TAB [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349491","drug_name":"lamiVUDine 300 MG TAB [lamiVUDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349514","drug_name":"Celecoxib 400 MG CAP [Celecoxib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349545","drug_name":"ARIPiprazole 10 MG TAB [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349547","drug_name":"ARIPiprazole 30 MG TAB [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349553","drug_name":"ARIPiprazole 20 MG TAB [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349556","drug_name":"Ezetimibe 10 MG TAB [Ezetimibe]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349590","drug_name":"Levalbuterol HCl 0.31 MG/3ML NEBU SOLN [Levalbuterol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"349591","drug_name":"Atomoxetine HCl 10 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349592","drug_name":"Atomoxetine HCl 18 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349593","drug_name":"Atomoxetine HCl 25 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349594","drug_name":"Atomoxetine HCl 40 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"349595","drug_name":"Atomoxetine HCl 60 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"351107","drug_name":"OLANZapine 15 MG TAB DISP [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351108","drug_name":"OLANZapine 20 MG TAB DISP [OLANZapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351109","drug_name":"Budesonide 0.5 MG/2ML SUSPENSION [Budesonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351133","drug_name":"Fenofibrate 54 MG TAB [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351136","drug_name":"Albuterol Sulfate 1.25 MG/3ML NEBU SOLN [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351137","drug_name":"Albuterol Sulfate 0.63 MG/3ML NEBU SOLN [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351172","drug_name":"Dutasteride 0.5 MG CAP [Dutasteride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351173","drug_name":"Nitisinone 2 MG CAP [Nitisinone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351174","drug_name":"Nitisinone 5 MG CAP [Nitisinone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351175","drug_name":"Nitisinone 10 MG CAP [Nitisinone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351249","drug_name":"Escitalopram Oxalate 5 MG TAB [Escitalopram Oxalate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351250","drug_name":"Escitalopram Oxalate 20 MG TAB [Escitalopram Oxalate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351254","drug_name":"Metaxalone 800 MG TAB [Metaxalone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351256","drug_name":"Eplerenone 25 MG TAB [Eplerenone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351257","drug_name":"Eplerenone 50 MG TAB [Eplerenone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351264","drug_name":"Buprenorphine HCl 2 MG SL TAB [Buprenorphine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"351265","drug_name":"Buprenorphine HCl 8 MG SL TAB [Buprenorphine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"351266","drug_name":"Buprenorphine HCl-Naloxone HCl 2-0.5 MG SL TAB [Buprenorphine HCl-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"351267","drug_name":"Buprenorphine HCl-Naloxone HCl 8-2 MG SL TAB [Buprenorphine HCl-Naloxone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"351285","drug_name":"Escitalopram Oxalate 10 MG/10ML SOLUTION [Escitalopram Oxalate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351297","drug_name":"Insulin Aspart Prot & Aspart (70-30) 100 UNIT/ML SUSPENSION [Insulin Aspart Prot & Aspart]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351859","drug_name":"HumuLIN R U-500 (CONCENTRATED) 500 UNIT/ML SOLUTION [HumuLIN R U-500 (CONCENTRATED)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351901","drug_name":"Rapamune 1 MG/ML SOLUTION [Rapamune]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351926","drug_name":"NovoLOG 100 UNIT/ML SOLUTION [NovoLOG]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"351989","drug_name":"Rapamune 1 MG TAB [Rapamune]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352044","drug_name":"Aranesp (Albumin Free) 25 MCG/ML SOLUTION [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352045","drug_name":"Aranesp (Albumin Free) 40 MCG/ML SOLUTION [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352046","drug_name":"Aranesp (Albumin Free) 60 MCG/ML SOLUTION [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352047","drug_name":"Aranesp (Albumin Free) 100 MCG/ML SOLUTION [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352050","drug_name":"Viread 300 MG TAB [Viread]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352119","drug_name":"Orfadin 2 MG CAP [Orfadin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352120","drug_name":"Orfadin 5 MG CAP [Orfadin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352121","drug_name":"Orfadin 10 MG CAP [Orfadin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352210","drug_name":"Mesnex 400 MG TAB [Mesnex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352257","drug_name":"Xyrem 500 MG/ML SOLUTION [Xyrem]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"352297","drug_name":"Pegasys 180 MCG/ML SOLUTION [Pegasys]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"353538","drug_name":"Isosorbide Mononitrate ER 60 MG TAB ER 24H [Isosorbide Mononitrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"359296","drug_name":"Calcium Acetate (Phos Binder) 667 MG CAP [Calcium Acetate (Phos Binder)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"359385","drug_name":"Clarithromycin ER 500 MG TAB ER 24H [Clarithromycin ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"359493","drug_name":"Eletriptan Hydrobromide 20 MG TAB [Eletriptan Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"359494","drug_name":"Eletriptan Hydrobromide 40 MG TAB [Eletriptan Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"359500","drug_name":"Etodolac ER 500 MG TAB ER 24H [Etodolac ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"359697","drug_name":"Ketoprofen ER 200 MG CAP ER 24H [Ketoprofen ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"360110","drug_name":"Sirolimus 2 MG TAB [Sirolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"360507","drug_name":"Fluvastatin Sodium ER 80 MG TAB ER 24H [Fluvastatin Sodium ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"379804","drug_name":"glipiZIDE 2.5 MG TAB [glipiZIDE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"381056","drug_name":"Isosorbide Dinitrate 10 MG TAB [Isosorbide Dinitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"387003","drug_name":"levETIRAcetam 1000 MG TAB [levETIRAcetam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"387013","drug_name":"Nebivolol HCl 5 MG TAB [Nebivolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"388311","drug_name":"CarBAMazepine ER 100 MG CAP ER 12H [CarBAMazepine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"388517","drug_name":"Calcitriol 3 MCG/GM OINTMENT [Calcitriol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"389242","drug_name":"Deferiprone 500 MG TAB [Deferiprone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"391937","drug_name":"Lactulose 10 GM/15ML SOLUTION [Lactulose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"393245","drug_name":"Digoxin 0.05 MG/ML SOLUTION [Digoxin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"401953","drug_name":"RisperiDONE 1 MG TAB DISP [RisperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"401954","drug_name":"RisperiDONE 2 MG TAB DISP [RisperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402010","drug_name":"risperiDONE Microspheres ER 25 MG SRER [risperiDONE Microspheres ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402011","drug_name":"risperiDONE Microspheres ER 37.5 MG SRER [risperiDONE Microspheres ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402012","drug_name":"risperiDONE Microspheres ER 50 MG SRER [risperiDONE Microspheres ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402091","drug_name":"Iressa 250 MG TAB [Iressa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402092","drug_name":"Restasis Multidose 0.05 % EMULSION [Restasis Multidose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402109","drug_name":"Fosamprenavir Calcium 700 MG TAB [Fosamprenavir Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402131","drug_name":"ARIPiprazole 5 MG TAB [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402246","drug_name":"Atazanavir Sulfate 150 MG CAP [Atazanavir Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402247","drug_name":"Atazanavir Sulfate 200 MG CAP [Atazanavir Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402252","drug_name":"Climara Pro 0.045-0.015 MG/DAY PATCH WK [Climara Pro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402505","drug_name":"carBAMazepine ER 200 MG TAB ER 12H [carBAMazepine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402506","drug_name":"carBAMazepine ER 400 MG TAB ER 12H [carBAMazepine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402695","drug_name":"Felodipine ER 10 MG TAB ER 24H [Felodipine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402696","drug_name":"Felodipine ER 5 MG TAB ER 24H [Felodipine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"402698","drug_name":"Felodipine ER 2.5 MG TAB ER 24H [Felodipine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403810","drug_name":"Aprepitant 80 MG CAP [Aprepitant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"403811","drug_name":"Aprepitant 125 MG CAP [Aprepitant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"403818","drug_name":"Moxifloxacin HCl 0.5 % SOLUTION [Moxifloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403825","drug_name":"RisperiDONE 0.5 MG TAB DISP [RisperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403850","drug_name":"Carbidopa-Levodopa-Entacapone 12.5-50-200 MG TAB [Carbidopa-Levodopa-Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403851","drug_name":"Carbidopa-Levodopa-Entacapone 25-100-200 MG TAB [Carbidopa-Levodopa-Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403852","drug_name":"Carbidopa-Levodopa-Entacapone 37.5-150-200 MG TAB [Carbidopa-Levodopa-Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403853","drug_name":"Olmesartan Medoxomil-HCTZ 20-12.5 MG TAB [Olmesartan Medoxomil-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403854","drug_name":"Olmesartan Medoxomil-HCTZ 40-12.5 MG TAB [Olmesartan Medoxomil-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403855","drug_name":"Olmesartan Medoxomil-HCTZ 40-25 MG TAB [Olmesartan Medoxomil-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403875","drug_name":"Emtricitabine 200 MG CAP [Emtricitabine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403878","drug_name":"Imatinib Mesylate 100 MG TAB [Imatinib Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403879","drug_name":"Imatinib Mesylate 400 MG TAB [Imatinib Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403884","drug_name":"levETIRAcetam 100 MG/ML SOLUTION [levETIRAcetam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403888","drug_name":"Potassium Chloride Crys ER 15 MEQ TAB ER [Potassium Chloride Crys ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403908","drug_name":"Ciprofloxacin-dexAMETHasone 0.3-0.1 % SUSPENSION [Ciprofloxacin-dexAMETHasone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403914","drug_name":"Methscopolamine Bromide 5 MG TAB [Methscopolamine Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403922","drug_name":"Estradiol 0.0375 MG/24HR PATCH WK [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403923","drug_name":"Estradiol 0.06 MG/24HR PATCH WK [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403930","drug_name":"ISOtretinoin 30 MG CAP [ISOtretinoin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403957","drug_name":"Tadalafil 5 MG TAB [Tadalafil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"403966","drug_name":"Zonisamide 25 MG CAP [Zonisamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"403967","drug_name":"Zonisamide 50 MG CAP [Zonisamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404058","drug_name":"Amnesteem 10 MG CAP [Amnesteem]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404059","drug_name":"Claravis 10 MG CAP [Claravis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404061","drug_name":"Amnesteem 20 MG CAP [Amnesteem]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404062","drug_name":"Claravis 20 MG CAP [Claravis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404064","drug_name":"Amnesteem 40 MG CAP [Amnesteem]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404065","drug_name":"Claravis 40 MG CAP [Claravis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404419","drug_name":"Alinia 100 MG/5ML RECON SUSP [Alinia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404432","drug_name":"Rapamune 2 MG TAB [Rapamune]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404449","drug_name":"Thalomid 100 MG CAP [Thalomid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404450","drug_name":"Thalomid 200 MG CAP [Thalomid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404457","drug_name":"Somavert 10 MG RECON SOLN [Somavert]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404458","drug_name":"Somavert 15 MG RECON SOLN [Somavert]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404459","drug_name":"Somavert 20 MG RECON SOLN [Somavert]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404460","drug_name":"Fuzeon 90 MG RECON SOLN [Fuzeon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404539","drug_name":"Cystadane   POWDER [Cystadane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404550","drug_name":"Premarin 0.45 MG TAB [Premarin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"404742","drug_name":"Carbatrol 100 MG CAP ER 12H [Carbatrol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"419849","drug_name":"Cefixime 200 MG/5ML RECON SUSP [Cefixime]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"427163","drug_name":"Nitazoxanide 500 MG TAB [Nitazoxanide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"429212","drug_name":"cloZAPine 50 MG TAB [cloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"429503","drug_name":"hydroCHLOROthiazide 12.5 MG TAB [hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"430551","drug_name":"Benznidazole 100 MG TAB [Benznidazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"432400","drug_name":"Cinacalcet HCl 90 MG TAB [Cinacalcet HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"432401","drug_name":"Cinacalcet HCl 60 MG TAB [Cinacalcet HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"432402","drug_name":"Cinacalcet HCl 30 MG TAB [Cinacalcet HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"433798","drug_name":"ALPRAZolam ER 0.5 MG TAB ER 24H [ALPRAZolam ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"433799","drug_name":"ALPRAZolam ER 2 MG TAB ER 24H [ALPRAZolam ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"433800","drug_name":"ALPRAZolam ER 1 MG TAB ER 24H [ALPRAZolam ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"433801","drug_name":"ALPRAZolam ER 3 MG TAB ER 24H [ALPRAZolam ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"465355","drug_name":"Voriconazole 40 MG/ML RECON SUSP [Voriconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476177","drug_name":"CloZAPine 100 MG TAB DISP [CloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476179","drug_name":"CloZAPine 25 MG TAB DISP [CloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476345","drug_name":"Ezetimibe-Simvastatin 10-10 MG TAB [Ezetimibe-Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476349","drug_name":"Ezetimibe-Simvastatin 10-20 MG TAB [Ezetimibe-Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476350","drug_name":"Ezetimibe-Simvastatin 10-40 MG TAB [Ezetimibe-Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476351","drug_name":"Ezetimibe-Simvastatin 10-80 MG TAB [Ezetimibe-Simvastatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476399","drug_name":"Carbidopa-Levodopa 25-100 MG TAB DISP [Carbidopa-Levodopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476515","drug_name":"Carbidopa-Levodopa 25-250 MG TAB DISP [Carbidopa-Levodopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476556","drug_name":"Emtricitabine-Tenofovir DF 200-300 MG TAB [Emtricitabine-Tenofovir DF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476576","drug_name":"Cefdinir 250 MG/5ML RECON SUSP [Cefdinir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"476809","drug_name":"Mirtazapine 7.5 MG TAB [Mirtazapine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477130","drug_name":"Telmisartan-HCTZ 80-25 MG TAB [Telmisartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477234","drug_name":"Tinidazole 250 MG TAB [Tinidazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477347","drug_name":"Lanthanum Carbonate 500 MG CHEW TAB [Lanthanum Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477367","drug_name":"Solifenacin Succinate 5 MG TAB [Solifenacin Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477372","drug_name":"Solifenacin Succinate 10 MG TAB [Solifenacin Succinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477391","drug_name":"levoFLOXacin 25 MG/ML SOLUTION [levoFLOXacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477560","drug_name":"Fenofibrate 145 MG TAB [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"477562","drug_name":"Fenofibrate 48 MG TAB [Fenofibrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483090","drug_name":"Carbidopa-Levodopa 10-100 MG TAB DISP [Carbidopa-Levodopa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483438","drug_name":"Pregabalin 100 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483440","drug_name":"Pregabalin 150 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483442","drug_name":"Pregabalin 25 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483444","drug_name":"Pregabalin 300 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483446","drug_name":"Pregabalin 200 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483448","drug_name":"Pregabalin 50 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"483450","drug_name":"Pregabalin 75 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485020","drug_name":"Mycophenolate Sodium 180 MG TAB DR [Mycophenolate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485023","drug_name":"Mycophenolate Sodium 360 MG TAB DR [Mycophenolate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485032","drug_name":"Tiotropium Bromide 18 MCG CAP [Tiotropium Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485421","drug_name":"Darifenacin Hydrobromide ER 15 MG TAB ER 24H [Darifenacin Hydrobromide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485423","drug_name":"Darifenacin Hydrobromide ER 7.5 MG TAB ER 24H [Darifenacin Hydrobromide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485434","drug_name":"Entecavir 0.5 MG TAB [Entecavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485436","drug_name":"Entecavir 1 MG TAB [Entecavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485440","drug_name":"Eszopiclone 1 MG TAB [Eszopiclone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"485442","drug_name":"Eszopiclone 2 MG TAB [Eszopiclone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"485465","drug_name":"Eszopiclone 3 MG TAB [Eszopiclone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"485496","drug_name":"ARIPiprazole 1 MG/ML SOLUTION [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"485647","drug_name":"Fluocinonide 0.1 % CREAM [Fluocinonide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"486146","drug_name":"Nitroglycerin 0.6 MG/HR PATCH 24HR [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"486148","drug_name":"Nitroglycerin 0.2 MG/HR PATCH 24HR [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"486152","drug_name":"Nitroglycerin 0.4 MG/HR PATCH 24HR [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"539789","drug_name":"Xifaxan 200 MG TAB [Xifaxan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"541363","drug_name":"Amphetamine-Dextroamphetamine 30 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"541524","drug_name":"Methitest 10 MG TAB [Methitest]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"541878","drug_name":"Amphetamine-Dextroamphetamine 5 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"541892","drug_name":"Amphetamine-Dextroamphetamine 10 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"542370","drug_name":"Viracept 625 MG TAB [Viracept]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"543460","drug_name":"Ammonium Lactate 12 % CREAM [Ammonium Lactate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"543546","drug_name":"Nystatin 100000 UNIT/GM CREAM [Nystatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"544452","drug_name":"Constulose 10 GM/15ML SOLUTION [Constulose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"544455","drug_name":"Generlac 10 GM/15ML SOLUTION [Generlac]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"545118","drug_name":"levoFLOXacin 1.5 % SOLUTION [levoFLOXacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"545259","drug_name":"Zylet 0.5-0.3 % SUSPENSION [Zylet]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"545276","drug_name":"Menostar 14 MCG/24HR PATCH WK [Menostar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"545835","drug_name":"Leuprolide Acetate 1 MG/0.2ML KIT [Leuprolide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562251","drug_name":"Amoxicillin-Pot Clavulanate 250-125 MG TAB [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562266","drug_name":"Clindamycin Palmitate HCl 75 MG/5ML RECON SOLN [Clindamycin Palmitate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562501","drug_name":"Epoprostenol Sodium 0.5 MG RECON SOLN [Epoprostenol Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562502","drug_name":"Epoprostenol Sodium 1.5 MG RECON SOLN [Epoprostenol Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562508","drug_name":"Amoxicillin-Pot Clavulanate 875-125 MG TAB [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562524","drug_name":"acetaZOLAMIDE ER 500 MG CAP ER 12H [acetaZOLAMIDE ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562704","drug_name":"rOPINIRole HCl 4 MG TAB [rOPINIRole HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562806","drug_name":"Pimecrolimus 1 % CREAM [Pimecrolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"562847","drug_name":"Betaine   POWDER [Betaine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577033","drug_name":"Sildenafil Citrate 20 MG TAB [Sildenafil Citrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"577057","drug_name":"fentaNYL 12 MCG/HR PATCH 72HR [fentaNYL]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"577127","drug_name":"Pregabalin 225 MG CAP [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577237","drug_name":"metroNIDAZOLE 1 % GEL [metroNIDAZOLE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577315","drug_name":"Paricalcitol 1 MCG CAP [Paricalcitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577317","drug_name":"Paricalcitol 2 MCG CAP [Paricalcitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577324","drug_name":"Paricalcitol 4 MCG CAP [Paricalcitol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577348","drug_name":"Ramelteon 8 MG TAB [Ramelteon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"577776","drug_name":"Candesartan Cilexetil 16 MG TAB [Candesartan Cilexetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"577957","drug_name":"Amphetamine-Dextroamphetamine 15 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"577961","drug_name":"Amphetamine-Dextroamphetamine 20 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"578018","drug_name":"Bromfenac Sodium (Once-Daily) 0.09 % SOLUTION [Bromfenac Sodium (Once-Daily)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"578325","drug_name":"Candesartan Cilexetil-HCTZ 16-12.5 MG TAB [Candesartan Cilexetil-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"578330","drug_name":"Candesartan Cilexetil-HCTZ 32-12.5 MG TAB [Candesartan Cilexetil-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"579148","drug_name":"Galantamine Hydrobromide 12 MG TAB [Galantamine Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"580261","drug_name":"Spiriva HandiHaler 18 MCG CAP [Spiriva HandiHaler]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"581549","drug_name":"Estrogel 0.75 MG/1.25 GM (0.06%) GEL [Estrogel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"582595","drug_name":"Ventavis 10 MCG/ML SOLUTION [Ventavis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"582926","drug_name":"Podofilox 0.5 % SOLUTION [Podofilox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"582971","drug_name":"Humatrope 12 MG CARTRIDGE [Humatrope]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"582976","drug_name":"Humatrope 24 MG CARTRIDGE [Humatrope]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"584414","drug_name":"Nyamyc 100000 UNIT/GM POWDER [Nyamyc]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"596926","drug_name":"DULoxetine HCl 20 MG CP DR PART [DULoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"596930","drug_name":"DULoxetine HCl 30 MG CP DR PART [DULoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"596934","drug_name":"DULoxetine HCl 60 MG CP DR PART [DULoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597730","drug_name":"Lopinavir-Ritonavir 200-50 MG TAB [Lopinavir-Ritonavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597747","drug_name":"SORAfenib Tosylate 200 MG TAB [SORAfenib Tosylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597768","drug_name":"Deferasirox 125 MG TAB SOL [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597770","drug_name":"Deferasirox 250 MG TAB SOL [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597772","drug_name":"Deferasirox 500 MG TAB SOL [Deferasirox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597850","drug_name":"Anagrelide HCl 0.5 MG CAP [Anagrelide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597852","drug_name":"Anagrelide HCl 1 MG CAP [Anagrelide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"597959","drug_name":"Cervidil 10 MG INSERT [Cervidil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"598006","drug_name":"Erythromycin Base 250 MG TAB [Erythromycin Base]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"598025","drug_name":"Amoxicillin 250 MG CHEW TAB [Amoxicillin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"602393","drug_name":"Abacavir Sulfate-lamiVUDine 600-300 MG TAB [Abacavir Sulfate-lamiVUDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"602427","drug_name":"Clindesse 2 % CREAM [Clindesse]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"602635","drug_name":"Lanthanum Carbonate 1000 MG CHEW TAB [Lanthanum Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"602910","drug_name":"Lenalidomide 10 MG CAP [Lenalidomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"602912","drug_name":"Lenalidomide 5 MG CAP [Lenalidomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"602964","drug_name":"ARIPiprazole 2 MG TAB [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"603203","drug_name":"Erlotinib HCl 100 MG TAB [Erlotinib HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"603206","drug_name":"Erlotinib HCl 150 MG TAB [Erlotinib HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"603208","drug_name":"Erlotinib HCl 25 MG TAB [Erlotinib HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"603378","drug_name":"Aptivus 250 MG CAP [Aptivus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"606730","drug_name":"Esomeprazole Magnesium 40 MG CAP DR [Esomeprazole Magnesium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"607295","drug_name":"Dapsone 5 % GEL [Dapsone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"607579","drug_name":"Baraclude 0.05 MG/ML SOLUTION [Baraclude]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"608139","drug_name":"Atomoxetine HCl 100 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"608143","drug_name":"Atomoxetine HCl 80 MG CAP [Atomoxetine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"608328","drug_name":"Rasagiline Mesylate 1 MG TAB [Rasagiline Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"608624","drug_name":"Metoclopramide HCl 5 MG TAB DISP [Metoclopramide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"608934","drug_name":"Vandazole 0.75 % GEL [Vandazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"615882","drug_name":"Increlex 40 MG/4ML SOLUTION [Increlex]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616018","drug_name":"Orencia 250 MG RECON SOLN [Orencia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616114","drug_name":"Revlimid 10 MG CAP [Revlimid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616116","drug_name":"Revlimid 5 MG CAP [Revlimid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616148","drug_name":"Emtriva 10 MG/ML SOLUTION [Emtriva]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616159","drug_name":"Exjade 125 MG TAB SOL [Exjade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616161","drug_name":"Exjade 250 MG TAB SOL [Exjade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616163","drug_name":"Exjade 500 MG TAB SOL [Exjade]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616279","drug_name":"SUNItinib Malate 12.5 MG CAP [SUNItinib Malate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616285","drug_name":"SUNItinib Malate 25 MG CAP [SUNItinib Malate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616289","drug_name":"SUNItinib Malate 50 MG CAP [SUNItinib Malate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616483","drug_name":"QUEtiapine Fumarate 400 MG TAB [QUEtiapine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616487","drug_name":"QUEtiapine Fumarate 50 MG TAB [QUEtiapine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616578","drug_name":"Lubiprostone 24 MCG CAP [Lubiprostone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616698","drug_name":"RisperiDONE 3 MG TAB DISP [RisperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616705","drug_name":"RisperiDONE 4 MG TAB DISP [RisperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"616749","drug_name":"Ranolazine ER 500 MG TAB ER 12H [Ranolazine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617296","drug_name":"Amoxicillin-Pot Clavulanate 500-125 MG TAB [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617309","drug_name":"Amoxicillin-Pot Clavulanate 200-28.5 MG CHEW TAB [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617310","drug_name":"Atorvastatin Calcium 20 MG TAB [Atorvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617311","drug_name":"Atorvastatin Calcium 40 MG TAB [Atorvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617312","drug_name":"Atorvastatin Calcium 10 MG TAB [Atorvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617316","drug_name":"Amoxicillin-Pot Clavulanate 400-57 MG CHEW TAB [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617322","drug_name":"Amoxicillin-Pot Clavulanate 250-62.5 MG/5ML RECON SUSP [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617423","drug_name":"Amoxicillin-Pot Clavulanate 200-28.5 MG/5ML RECON SUSP [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617430","drug_name":"Amoxicillin-Pot Clavulanate 400-57 MG/5ML RECON SUSP [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617993","drug_name":"Amoxicillin-Pot Clavulanate 600-42.9 MG/5ML RECON SUSP [Amoxicillin-Pot Clavulanate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"617995","drug_name":"Amoxicillin-Pot Clavulanate ER 1000-62.5 MG TAB ER 12H [Amoxicillin-Pot Clavulanate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"618552","drug_name":"Meclofenamate Sodium 100 MG CAP [Meclofenamate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"618557","drug_name":"Meclofenamate Sodium 50 MG CAP [Meclofenamate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"628953","drug_name":"Potassium Chloride ER 10 MEQ TAB ER [Potassium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"628958","drug_name":"Klor-Con 10 10 MEQ TAB ER [Klor-Con 10]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"630208","drug_name":"Albuterol Sulfate (2.5 MG/3ML) 0.083% NEBU SOLN [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"636042","drug_name":"Valsartan-Hydrochlorothiazide 320-12.5 MG TAB [Valsartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"636045","drug_name":"Valsartan-Hydrochlorothiazide 320-25 MG TAB [Valsartan-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"636664","drug_name":"Rasagiline Mesylate 0.5 MG TAB [Rasagiline Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"636671","drug_name":"Varenicline Tartrate 0.5 MG TAB [Varenicline Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"636676","drug_name":"Varenicline Tartrate 1 MG TAB [Varenicline Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"637173","drug_name":"Cephalexin 750 MG CAP [Cephalexin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"637216","drug_name":"Vivitrol 380 MG RECON SUSP [Vivitrol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"639537","drug_name":"Candesartan Cilexetil 32 MG TAB [Candesartan Cilexetil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"642452","drug_name":"Lanthanum Carbonate 750 MG CHEW TAB [Lanthanum Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643019","drug_name":"ARIPiprazole 10 MG TAB DISP [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643022","drug_name":"ARIPiprazole 15 MG TAB DISP [ARIPiprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643066","drug_name":"Efavirenz-Emtricitab-Tenofo DF 600-200-300 MG TAB [Efavirenz-Emtricitab-Tenofo DF]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643105","drug_name":"Dasatinib 20 MG TAB [Dasatinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643107","drug_name":"Dasatinib 50 MG TAB [Dasatinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643109","drug_name":"Dasatinib 70 MG TAB [Dasatinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643173","drug_name":"Sprycel 20 MG TAB [Sprycel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643175","drug_name":"Sprycel 50 MG TAB [Sprycel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643177","drug_name":"Sprycel 70 MG TAB [Sprycel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643488","drug_name":"Claravis 30 MG CAP [Claravis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643712","drug_name":"Lenalidomide 15 MG CAP [Lenalidomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643714","drug_name":"Revlimid 15 MG CAP [Revlimid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643720","drug_name":"Lenalidomide 25 MG CAP [Lenalidomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"643722","drug_name":"Revlimid 25 MG CAP [Revlimid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"644088","drug_name":"Aprepitant 40 MG CAP [Aprepitant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"644304","drug_name":"Soltamox 10 MG/5ML SOLUTION [Soltamox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"645037","drug_name":"RisperiDONE 0.25 MG TAB DISP [RisperiDONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"645884","drug_name":"Omnitrope 5.8 MG RECON SOLN [Omnitrope]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"646456","drug_name":"Klayesta 100000 UNIT/GM POWDER [Klayesta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"656659","drug_name":"Bosentan 125 MG TAB [Bosentan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"664741","drug_name":"Atazanavir Sulfate 300 MG CAP [Atazanavir Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"665019","drug_name":"Posaconazole 40 MG/ML SUSPENSION [Posaconazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"665033","drug_name":"SITagliptin 100 MG TAB [SITagliptin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"665038","drug_name":"SITagliptin 25 MG TAB [SITagliptin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"665042","drug_name":"SITagliptin 50 MG TAB [SITagliptin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"668606","drug_name":"Zolinza 100 MG CAP [Zolinza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"668956","drug_name":"Arformoterol Tartrate 15 MCG/2ML NEBU SOLN [Arformoterol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"670026","drug_name":"Darunavir 600 MG TAB [Darunavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"672149","drug_name":"Lapatinib Ditosylate 250 MG TAB [Lapatinib Ditosylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"672567","drug_name":"Paliperidone ER 3 MG TAB ER 24H [Paliperidone ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"672569","drug_name":"Paliperidone ER 6 MG TAB ER 24H [Paliperidone ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"672571","drug_name":"Paliperidone ER 9 MG TAB ER 24H [Paliperidone ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"686379","drug_name":"Celecoxib 50 MG CAP [Celecoxib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"686400","drug_name":"Erythromycin Ethylsuccinate 200 MG/5ML RECON SUSP [Erythromycin Ethylsuccinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"686405","drug_name":"Erythromycin Ethylsuccinate 400 MG TAB [Erythromycin Ethylsuccinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"686418","drug_name":"Erythromycin Ethylsuccinate 400 MG/5ML RECON SUSP [Erythromycin Ethylsuccinate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"686429","drug_name":"Mesalamine 1.2 GM TAB DR [Mesalamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"686924","drug_name":"Carvedilol 3.125 MG TAB [Carvedilol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"687043","drug_name":"Amphetamine-Dextroamphetamine 12.5 MG TAB [Amphetamine-Dextroamphetamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"688242","drug_name":"Premarin 0.625 MG/GM CREAM [Premarin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"692576","drug_name":"Esomeprazole Magnesium 20 MG PACKET [Esomeprazole Magnesium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"692578","drug_name":"Esomeprazole Magnesium 40 MG PACKET [Esomeprazole Magnesium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"700418","drug_name":"Thalomid 150 MG CAP [Thalomid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"700883","drug_name":"Temozolomide 140 MG CAP [Temozolomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"700885","drug_name":"Temozolomide 180 MG CAP [Temozolomide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"702519","drug_name":"PHENobarbital 20 MG/5ML ELIXIR [PHENobarbital]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"705129","drug_name":"Nitroglycerin 0.4 MG/SPRAY SOLUTION [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706467","drug_name":"Elestrin 0.52 MG/0.87 GM (0.06%) GEL [Elestrin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706822","drug_name":"risperiDONE Microspheres ER 12.5 MG SRER [risperiDONE Microspheres ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706825","drug_name":"RisperDAL Consta 12.5 MG SRER [RisperDAL Consta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706827","drug_name":"RisperDAL Consta 37.5 MG SRER [RisperDAL Consta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706829","drug_name":"RisperDAL Consta 50 MG SRER [RisperDAL Consta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706831","drug_name":"RisperDAL Consta 25 MG SRER [RisperDAL Consta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"706872","drug_name":"AzaSite 1 % SOLUTION [AzaSite]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"721773","drug_name":"CloZAPine 12.5 MG TAB DISP [CloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"721791","drug_name":"QUEtiapine Fumarate ER 200 MG TAB ER 24H [QUEtiapine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"721794","drug_name":"QUEtiapine Fumarate ER 300 MG TAB ER 24H [QUEtiapine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"721796","drug_name":"QUEtiapine Fumarate ER 400 MG TAB ER 24H [QUEtiapine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"722116","drug_name":"Ambrisentan 10 MG TAB [Ambrisentan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"722122","drug_name":"Ambrisentan 5 MG TAB [Ambrisentan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"722126","drug_name":"amLODIPine Besylate-Valsartan 10-160 MG TAB [amLODIPine Besylate-Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"722131","drug_name":"amLODIPine Besylate-Valsartan 10-320 MG TAB [amLODIPine Besylate-Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"722134","drug_name":"amLODIPine Besylate-Valsartan 5-160 MG TAB [amLODIPine Besylate-Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"722137","drug_name":"amLODIPine Besylate-Valsartan 5-320 MG TAB [amLODIPine Besylate-Valsartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"722256","drug_name":"Neupro 2 MG/24HR PATCH 24HR [Neupro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"724142","drug_name":"Neupro 4 MG/24HR PATCH 24HR [Neupro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"724156","drug_name":"Neupro 6 MG/24HR PATCH 24HR [Neupro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"724859","drug_name":"Armodafinil 150 MG TAB [Armodafinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"724861","drug_name":"Armodafinil 250 MG TAB [Armodafinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"724863","drug_name":"Armodafinil 50 MG TAB [Armodafinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"725021","drug_name":"Rivastigmine 4.6 MG/24HR PATCH 24HR [Rivastigmine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"725023","drug_name":"Rivastigmine 9.5 MG/24HR PATCH 24HR [Rivastigmine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"727316","drug_name":"EPINEPHrine 0.15 MG/0.3ML SOLN A-INJ [EPINEPHrine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"727714","drug_name":"Kineret 100 MG/0.67ML SOLN PRSYR [Kineret]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"727816","drug_name":"Avonex Prefilled 30 MCG/0.5ML PREF SY KT [Avonex Prefilled]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"728109","drug_name":"Oseltamivir Phosphate 30 MG CAP [Oseltamivir Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"728113","drug_name":"Oseltamivir Phosphate 45 MG CAP [Oseltamivir Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"728122","drug_name":"Evamist 1.53 MG/SPRAY SOLUTION [Evamist]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"728223","drug_name":"Maraviroc 150 MG TAB [Maraviroc]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"728225","drug_name":"Maraviroc 300 MG TAB [Maraviroc]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"728231","drug_name":"Ranolazine ER 1000 MG TAB ER 12H [Ranolazine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"729234","drug_name":"Humatrope 6 MG CARTRIDGE [Humatrope]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"730046","drug_name":"Aranesp (Albumin Free) 100 MCG/0.5ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"730794","drug_name":"Carisoprodol 250 MG TAB [Carisoprodol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"730861","drug_name":"amLODIPine-Olmesartan 10-20 MG TAB [amLODIPine-Olmesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"730866","drug_name":"amLODIPine-Olmesartan 10-40 MG TAB [amLODIPine-Olmesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"730869","drug_name":"amLODIPine-Olmesartan 5-20 MG TAB [amLODIPine-Olmesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"730872","drug_name":"amLODIPine-Olmesartan 5-40 MG TAB [amLODIPine-Olmesartan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"730988","drug_name":"Carbidopa-Levodopa-Entacapone 50-200-200 MG TAB [Carbidopa-Levodopa-Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731227","drug_name":"Aranesp (Albumin Free) 40 MCG/0.4ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731229","drug_name":"Aranesp (Albumin Free) 300 MCG/0.6ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731231","drug_name":"Aranesp (Albumin Free) 150 MCG/0.3ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731235","drug_name":"Aranesp (Albumin Free) 200 MCG/0.4ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731241","drug_name":"Aranesp (Albumin Free) 500 MCG/ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731245","drug_name":"Aranesp (Albumin Free) 25 MCG/0.42ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731250","drug_name":"Aranesp (Albumin Free) 60 MCG/0.3ML SOLN PRSYR [Aranesp (Albumin Free)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731281","drug_name":"HumaLOG Mix 50/50 (50-50) 100 UNIT/ML SUSPENSION [HumaLOG Mix 50/50]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"731328","drug_name":"Pegasys 180 MCG/0.5ML SOLN PRSYR [Pegasys]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"744846","drug_name":"Isentress 400 MG TAB [Isentress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"746609","drug_name":"Tasigna 200 MG CAP [Tasigna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"746645","drug_name":"Lopinavir-Ritonavir 100-25 MG TAB [Lopinavir-Ritonavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"746804","drug_name":"Asmanex (120 Metered Doses) 220 MCG/ACT AER POW BA [Asmanex (120 Metered Doses)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"746811","drug_name":"Asmanex (14 Metered Doses) 220 MCG/ACT AER POW BA [Asmanex (14 Metered Doses)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"746813","drug_name":"Asmanex (30 Metered Doses) 220 MCG/ACT AER POW BA [Asmanex (30 Metered Doses)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"746815","drug_name":"Asmanex (60 Metered Doses) 220 MCG/ACT AER POW BA [Asmanex (60 Metered Doses)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748738","drug_name":"Hycamtin 0.25 MG CAP [Hycamtin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748740","drug_name":"Hycamtin 1 MG CAP [Hycamtin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748798","drug_name":"Drospirenone-Ethinyl Estradiol 3-0.02 MG TAB [Drospirenone-Ethinyl Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748800","drug_name":"Drospirenone-Ethinyl Estradiol 3-0.03 MG TAB [Drospirenone-Ethinyl Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748804","drug_name":"Ethynodiol Diac-Eth Estradiol 1-35 MG-MCG TAB [Ethynodiol Diac-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748806","drug_name":"Ethynodiol Diac-Eth Estradiol 1-50 MG-MCG TAB [Ethynodiol Diac-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748832","drug_name":"Levonorg-Eth Estrad Triphasic 50-30/75-40/ 125-30 MCG TAB [Levonorg-Eth Estrad Triphasic]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748859","drug_name":"Zovia 1/35 (28) 1-35 MG-MCG TAB [Zovia 1/35 (28)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748865","drug_name":"Trivora (28) 50-30/75-40/ 125-30 MCG TAB [Trivora (28)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748868","drug_name":"Levonorgestrel-Ethinyl Estrad 0.1-20 MG-MCG TAB [Levonorgestrel-Ethinyl Estrad]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748878","drug_name":"Levonorgestrel-Ethinyl Estrad 0.15-30 MG-MCG TAB [Levonorgestrel-Ethinyl Estrad]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748879","drug_name":"Levora 0.15/30 (28) 0.15-30 MG-MCG TAB [Levora 0.15/30 (28)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748961","drug_name":"Norethindrone 0.35 MG TAB [Norethindrone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748962","drug_name":"Camila 0.35 MG TAB [Camila]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"748977","drug_name":"Nora-BE 0.35 MG TAB [Nora-BE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749148","drug_name":"Leena 0.5/1/0.5-35 MG-MCG TAB [Leena]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749157","drug_name":"Norgestim-Eth Estrad Triphasic 0.18/0.215/0.25 MG-25 MCG TAB [Norgestim-Eth Estrad Triphasic]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749206","drug_name":"Sevelamer Carbonate 800 MG TAB [Sevelamer Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749289","drug_name":"Varenicline Tartrate (Starter) 0.5 MG X 11 & 1 MG X 42 TAB THPK [Varenicline Tartrate (Starter)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749761","drug_name":"Levonorgest-Eth Estrad 91-Day 0.15-0.03 &0.01 MG TAB [Levonorgest-Eth Estrad 91-Day]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749780","drug_name":"Azithromycin 500 MG TAB [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749783","drug_name":"Azithromycin 250 MG TAB [Azithromycin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749784","drug_name":"Norgestim-Eth Estrad Triphasic 0.18/0.215/0.25 MG-35 MCG TAB [Norgestim-Eth Estrad Triphasic]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749788","drug_name":"Varenicline Tartrate 1 MG TAB [Varenicline Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749813","drug_name":"Somatuline Depot 60 MG/0.2ML SOLUTION [Somatuline Depot]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749814","drug_name":"Lanreotide Acetate 120 MG/0.5ML SOLUTION [Lanreotide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749816","drug_name":"Somatuline Depot 120 MG/0.5ML SOLUTION [Somatuline Depot]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749818","drug_name":"Somatuline Depot 90 MG/0.3ML SOLUTION [Somatuline Depot]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"749860","drug_name":"Norgestimate-Eth Estradiol 0.25-35 MG-MCG TAB [Norgestimate-Eth Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"750268","drug_name":"Aviane 0.1-20 MG-MCG TAB [Aviane]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"750839","drug_name":"Erythrocin Stearate 250 MG TAB [Erythrocin Stearate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751139","drug_name":"lamoTRIgine Starter Kit-Blue 35 x 25 MG KIT [LamoTRIgine Starter Kit-Blue]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751553","drug_name":"Levonorgestrel-Ethinyl Estrad 90-20 MCG TAB [Levonorgestrel-Ethinyl Estrad]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751563","drug_name":"lamoTRIgine Starter Kit-Orange 42 x 25 MG & 7 x 100 MG KIT [LamoTRIgine Starter Kit-Orange]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751566","drug_name":"Serostim 4 MG RECON SOLN [Serostim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751568","drug_name":"Serostim 5 MG RECON SOLN [Serostim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751570","drug_name":"Serostim 6 MG RECON SOLN [Serostim]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751612","drug_name":"Nebivolol HCl 10 MG TAB [Nebivolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751618","drug_name":"Nebivolol HCl 2.5 MG TAB [Nebivolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751871","drug_name":"Nortrel 1/35 (21) 1-35 MG-MCG TAB [Nortrel 1/35 (21)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751884","drug_name":"Lutera 0.1-20 MG-MCG TAB [Lutera]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751885","drug_name":"Lessina 0.1-20 MG-MCG TAB [Lessina]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751890","drug_name":"Portia-28 0.15-30 MG-MCG TAB [Portia-28]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751901","drug_name":"Levonorgest-Eth Estrad 91-Day 0.15-0.03 MG TAB [Levonorgest-Eth Estrad 91-Day]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"751970","drug_name":"Actimmune 100 MCG/0.5ML SOLUTION [Actimmune]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"752388","drug_name":"HumaLOG Mix 75/25 (75-25) 100 UNIT/ML SUSPENSION [HumaLOG Mix 75/25]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"753451","drug_name":"lamoTRIgine Starter Kit-Green 84 x 25 MG & 14x100 MG KIT [LamoTRIgine Starter Kit-Green]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"753481","drug_name":"Sprintec 28 0.25-35 MG-MCG TAB [Sprintec 28]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"753482","drug_name":"Apri 0.15-30 MG-MCG TAB [Apri]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"753483","drug_name":"Kelnor 1/35 1-35 MG-MCG TAB [Kelnor 1/35]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"753543","drug_name":"Reclipsen 0.15-30 MG-MCG TAB [Reclipsen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"753544","drug_name":"Sronyx 0.1-20 MG-MCG TAB [Sronyx]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"754508","drug_name":"Aprepitant 80 & 125 MG CAP [Aprepitant]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"754512","drug_name":"Lacrisert 5 MG INSERT [Lacrisert]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"754761","drug_name":"Etravirine 100 MG TAB [Etravirine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"755357","drug_name":"Zarontin 250 MG/5ML SOLUTION [Zarontin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"755470","drug_name":"Enulose 10 GM/15ML SOLUTION [Enulose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"755497","drug_name":"Albuterol Sulfate 2 MG/5ML SYRUP [Albuterol Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"756059","drug_name":"Lithium 8 MEQ/5ML SOLUTION [Lithium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"756209","drug_name":"Zidovudine 50 MG/5ML SYRUP [Zidovudine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"756226","drug_name":"Elixophyllin 80 MG/15ML ELIXIR [Elixophyllin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"757707","drug_name":"Tadalafil 2.5 MG TAB [Tadalafil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"758027","drug_name":"Rebif 44 MCG/0.5ML SOLN PRSYR [Rebif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"758032","drug_name":"Rebif 22 MCG/0.5ML SOLN PRSYR [Rebif]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"759473","drug_name":"Relenza Diskhaler 5 MG/ACT AER POW BA [Relenza Diskhaler]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"759743","drug_name":"Desogestrel-Ethinyl Estradiol 0.15-0.02/0.01 MG (21/5) TAB [Desogestrel-Ethinyl Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"761977","drug_name":"Enpresse-28 50-30/75-40/ 125-30 MCG TAB [Enpresse-28]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762001","drug_name":"Kariva 0.15-0.02/0.01 MG (21/5) TAB [Kariva]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762333","drug_name":"Tri-Sprintec 0.18/0.215/0.25 MG-35 MCG TAB [Tri-Sprintec]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762663","drug_name":"Jolessa 0.15-0.03 MG TAB [Jolessa]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762675","drug_name":"methylPREDNISolone 4 MG TAB THPK [methylPREDNISolone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762833","drug_name":"Genotropin MiniQuick 0.2 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762836","drug_name":"Genotropin MiniQuick 0.4 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762839","drug_name":"Genotropin MiniQuick 0.6 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762843","drug_name":"Genotropin MiniQuick 0.8 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762849","drug_name":"Genotropin MiniQuick 1.2 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762852","drug_name":"Genotropin MiniQuick 1.4 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762859","drug_name":"Genotropin MiniQuick 1.6 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762868","drug_name":"Genotropin MiniQuick 1.8 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762875","drug_name":"Genotropin MiniQuick 1 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"762897","drug_name":"Genotropin MiniQuick 2 MG PRSYR [Genotropin MiniQuick]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"763179","drug_name":"predniSONE 5 MG (48) TAB THPK [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"763181","drug_name":"predniSONE 5 MG (21) TAB THPK [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"763183","drug_name":"predniSONE 10 MG (48) TAB THPK [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"763185","drug_name":"predniSONE 10 MG (21) TAB THPK [predniSONE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"763457","drug_name":"Arcalyst 220 MG RECON SOLN [Arcalyst]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"763489","drug_name":"Genotropin 5 MG CARTRIDGE [Genotropin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"790284","drug_name":"Asmanex (30 Metered Doses) 110 MCG/ACT AER POW BA [Asmanex (30 Metered Doses)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"794639","drug_name":"Lubiprostone 8 MCG CAP [Lubiprostone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"795085","drug_name":"Cimzia 2 X 200 MG KIT [Cimzia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"795749","drug_name":"Rebif Titration Pack 6X8.8 & 6X22 MCG SOLN PRSYR [Rebif Titration Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"795918","drug_name":"Veregen 15 % OINTMENT [Veregen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"796918","drug_name":"Saizen 8.8 MG RECON SOLN [Saizen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"797274","drug_name":"Clindamycin Phosphate 1 % SWAB [Clindamycin Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"798133","drug_name":"Ery 2 % PAD [Ery]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"799047","drug_name":"Dasatinib 100 MG TAB [Dasatinib]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"799054","drug_name":"rOPINIRole HCl ER 8 MG TAB ER 24H [rOPINIRole HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"799055","drug_name":"rOPINIRole HCl ER 2 MG TAB ER 24H [rOPINIRole HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"799056","drug_name":"rOPINIRole HCl ER 4 MG TAB ER 24H [rOPINIRole HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"799830","drug_name":"Sprycel 100 MG TAB [Sprycel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"801054","drug_name":"PEG 3350-KCl-Na Bicarb-NaCl 420 GM RECON SOLN [PEG 3350-KCl-Na Bicarb-NaCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"801095","drug_name":"Ventolin HFA 108 (90 Base) MCG/ACT AERO SOLN [Ventolin HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"801185","drug_name":"Ocella 3-0.03 MG TAB [Ocella]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"801957","drug_name":"DiazePAM 2.5 MG GEL [DiazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"801961","drug_name":"diazePAM 10 MG GEL [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"801966","drug_name":"diazePAM 20 MG GEL [diazePAM]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"802652","drug_name":"Enbrel 50 MG/ML SOLN PRSYR [Enbrel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"802749","drug_name":"Candesartan Cilexetil-HCTZ 32-25 MG TAB [Candesartan Cilexetil-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"804544","drug_name":"Difluprednate 0.05 % EMULSION [Difluprednate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"805464","drug_name":"Tetrabenazine 12.5 MG TAB [Tetrabenazine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"807283","drug_name":"Mirena (52 MG) 20 MCG/DAY IUD [Mirena (52 MG)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"807832","drug_name":"levETIRAcetam ER 500 MG TAB ER 24H [levETIRAcetam ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"808917","drug_name":"Fosfomycin Tromethamine 3 GM PACKET [Fosfomycin Tromethamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"809159","drug_name":"Enbrel 25 MG/0.5ML SOLN PRSYR [Enbrel]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"809477","drug_name":"Silodosin 8 MG CAP [Silodosin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"809987","drug_name":"Lacosamide 100 MG TAB [Lacosamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"809992","drug_name":"Lacosamide 150 MG TAB [Lacosamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"809996","drug_name":"Lacosamide 200 MG TAB [Lacosamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"810000","drug_name":"Lacosamide 50 MG TAB [Lacosamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"810071","drug_name":"Fesoterodine Fumarate ER 4 MG TAB ER 24H [Fesoterodine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"810077","drug_name":"Fesoterodine Fumarate ER 8 MG TAB ER 24H [Fesoterodine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"810083","drug_name":"Carbidopa-Levodopa-Entacapone 31.25-125-200 MG TAB [Carbidopa-Levodopa-Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"810090","drug_name":"Carbidopa-Levodopa-Entacapone 18.75-75-200 MG TAB [Carbidopa-Levodopa-Entacapone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"810096","drug_name":"Levonorgest-Eth Estrad 91-Day 0.1-0.02 & 0.01 MG TAB [Levonorgest-Eth Estrad 91-Day]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"824295","drug_name":"Rufinamide 200 MG TAB [Rufinamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"824301","drug_name":"Rufinamide 400 MG TAB [Rufinamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"824959","drug_name":"rOPINIRole HCl ER 12 MG TAB ER 24H [rOPINIRole HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825130","drug_name":"Mesalamine ER 0.375 GM CAP ER 24H [Mesalamine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825325","drug_name":"Eligard 45 MG KIT [Eligard]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825333","drug_name":"Eligard 30 MG KIT [Eligard]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825334","drug_name":"Eligard 7.5 MG KIT [Eligard]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825335","drug_name":"Eligard 22.5 MG KIT [Eligard]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825425","drug_name":"Promacta 25 MG TAB [Promacta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"825429","drug_name":"Promacta 50 MG TAB [Promacta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"826612","drug_name":"Silodosin 4 MG CAP [Silodosin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"827073","drug_name":"Nebivolol HCl 20 MG TAB [Nebivolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"828320","drug_name":"Cyclobenzaprine HCl 5 MG TAB [Cyclobenzaprine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"828348","drug_name":"Cyclobenzaprine HCl 10 MG TAB [Cyclobenzaprine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"829500","drug_name":"Mefenamic Acid 250 MG CAP [Mefenamic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830605","drug_name":"Avidoxy 100 MG TAB [Avidoxy]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830795","drug_name":"DilTIAZem HCl ER Beads 360 MG CAP ER 24H [DilTIAZem HCl ER Beads]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830801","drug_name":"DilTIAZem HCl ER Beads 300 MG CAP ER 24H [DilTIAZem HCl ER Beads]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830837","drug_name":"dilTIAZem HCl ER 240 MG CAP ER 24H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830845","drug_name":"dilTIAZem HCl ER 180 MG CAP ER 24H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830861","drug_name":"dilTIAZem HCl ER 120 MG CAP ER 24H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830865","drug_name":"dilTIAZem HCl ER 60 MG CAP ER 12H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830869","drug_name":"dilTIAZem HCl ER 90 MG CAP ER 12H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830872","drug_name":"dilTIAZem HCl ER 120 MG CAP ER 12H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"830874","drug_name":"dilTIAZem HCl ER 120 MG TAB ER 24H [dilTIAZem HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831054","drug_name":"dilTIAZem HCl 120 MG TAB [dilTIAZem HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831102","drug_name":"dilTIAZem HCl 90 MG TAB [dilTIAZem HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831103","drug_name":"dilTIAZem HCl 60 MG TAB [dilTIAZem HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831109","drug_name":"Cromolyn Sodium 4 % SOLUTION [Cromolyn Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831196","drug_name":"Taztia XT 120 MG CAP ER 24H [Taztia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831215","drug_name":"Dilt-XR 120 MG CAP ER 24H [Dilt-XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831226","drug_name":"Cartia XT 120 MG CAP ER 24H [Cartia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831246","drug_name":"Cromolyn Sodium 20 MG/2ML NEBU SOLN [Cromolyn Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831248","drug_name":"Taztia XT 180 MG CAP ER 24H [Taztia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831252","drug_name":"Dilt-XR 180 MG CAP ER 24H [Dilt-XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831255","drug_name":"Cartia XT 180 MG CAP ER 24H [Cartia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831261","drug_name":"Cromolyn Sodium 100 MG/5ML CONC [Cromolyn Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831285","drug_name":"Dilt-XR 240 MG CAP ER 24H [Dilt-XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831300","drug_name":"Taztia XT 240 MG CAP ER 24H [Taztia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831309","drug_name":"Cartia XT 240 MG CAP ER 24H [Cartia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831325","drug_name":"Taztia XT 300 MG CAP ER 24H [Taztia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831338","drug_name":"Cartia XT 300 MG CAP ER 24H [Cartia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831349","drug_name":"Taztia XT 360 MG CAP ER 24H [Taztia XT]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831359","drug_name":"DilTIAZem HCl ER Beads 420 MG CAP ER 24H [DilTIAZem HCl ER Beads]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831533","drug_name":"Errin 0.35 MG TAB [Errin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831870","drug_name":"Prezista 75 MG TAB [Prezista]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"831872","drug_name":"Azurette 0.15-0.02/0.01 MG (21/5) TAB [Azurette]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"832718","drug_name":"Klor-Con 8 MEQ TAB ER [Klor-Con]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"832731","drug_name":"Klor-Con M15 15 MEQ TAB ER [Klor-Con M15]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833008","drug_name":"Desmopressin Acetate 0.2 MG TAB [Desmopressin Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833139","drug_name":"Savella 100 MG TAB [Savella]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833143","drug_name":"Savella 12.5 MG TAB [Savella]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833146","drug_name":"Savella 50 MG TAB [Savella]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833149","drug_name":"Savella 25 MG TAB [Savella]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833204","drug_name":"Dexlansoprazole 30 MG CAP DR [Dexlansoprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833213","drug_name":"Dexlansoprazole 60 MG CAP DR [Dexlansoprazole]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833217","drug_name":"dilTIAZem HCl 30 MG TAB [dilTIAZem HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833234","drug_name":"Mesalamine 800 MG TAB DR [Mesalamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833528","drug_name":"Amiodarone HCl 200 MG TAB [Amiodarone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"833709","drug_name":"TraMADol HCl ER 100 MG TAB ER 24H [TraMADol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"833711","drug_name":"TraMADol HCl ER 200 MG TAB ER 24H [TraMADol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"833713","drug_name":"TraMADol HCl ER 300 MG TAB ER 24H [TraMADol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"834022","drug_name":"Ketorolac Tromethamine 10 MG TAB [Ketorolac Tromethamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834040","drug_name":"Penicillin V Potassium 250 MG/5ML RECON SOLN [Penicillin V Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834046","drug_name":"Penicillin V Potassium 125 MG/5ML RECON SOLN [Penicillin V Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834061","drug_name":"Penicillin V Potassium 250 MG TAB [Penicillin V Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834102","drug_name":"Penicillin V Potassium 500 MG TAB [Penicillin V Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834127","drug_name":"Chlorhexidine Gluconate 0.12 % SOLUTION [Chlorhexidine Gluconate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834137","drug_name":"Periogard 0.12 % SOLUTION [Periogard]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834235","drug_name":"Febuxostat 40 MG TAB [Febuxostat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834241","drug_name":"Febuxostat 80 MG TAB [Febuxostat]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834346","drug_name":"Pacerone 200 MG TAB [Pacerone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834348","drug_name":"Amiodarone HCl 400 MG TAB [Amiodarone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"834350","drug_name":"Pacerone 400 MG TAB [Pacerone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835564","drug_name":"Imipramine HCl 25 MG TAB [Imipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835568","drug_name":"Imipramine HCl 50 MG TAB [Imipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835593","drug_name":"Imipramine HCl 10 MG TAB [Imipramine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835603","drug_name":"traMADol HCl 50 MG TAB [traMADol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"835721","drug_name":"Trecator 250 MG TAB [Trecator]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835726","drug_name":"Acamprosate Calcium 333 MG TAB DR [Acamprosate Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835809","drug_name":"Testosterone Enanthate 200 MG/ML SOLUTION [Testosterone Enanthate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"835829","drug_name":"Testosterone Cypionate 100 MG/ML SOLUTION [Testosterone Cypionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"835831","drug_name":"Depo-Testosterone 100 MG/ML SOLUTION [Depo-Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"835835","drug_name":"Gengraf 100 MG CAP [Gengraf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835842","drug_name":"Depo-Testosterone 200 MG/ML SOLUTION [Depo-Testosterone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"835886","drug_name":"CycloSPORINE Modified 100 MG/ML SOLUTION [CycloSPORINE Modified]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835892","drug_name":"Gengraf 100 MG/ML SOLUTION [Gengraf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835894","drug_name":"cycloSPORINE Modified 25 MG CAP [cycloSPORINE Modified]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835896","drug_name":"Gengraf 25 MG CAP [Gengraf]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835899","drug_name":"Neoral 100 MG/ML SOLUTION [Neoral]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835909","drug_name":"Neoral 25 MG CAP [Neoral]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835911","drug_name":"Neoral 100 MG CAP [Neoral]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835913","drug_name":"Mefloquine HCl 250 MG TAB [Mefloquine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835925","drug_name":"cycloSPORINE Modified 50 MG CAP [cycloSPORINE Modified]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835956","drug_name":"Amiodarone HCl 100 MG TAB [Amiodarone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"835958","drug_name":"Pacerone 100 MG TAB [Pacerone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"836358","drug_name":"Ipratropium Bromide 0.02 % SOLUTION [Ipratropium Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"836368","drug_name":"Atrovent HFA 17 MCG/ACT AERO SOLN [Atrovent HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"836395","drug_name":"Tramadol-Acetaminophen 37.5-325 MG TAB [Tramadol-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"844590","drug_name":"Theo-24 100 MG CAP ER 24H [Theo-24]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"844591","drug_name":"Theo-24 300 MG CAP ER 24H [Theo-24]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"844813","drug_name":"Theo-24 200 MG CAP ER 24H [Theo-24]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"844829","drug_name":"Theo-24 400 MG CAP ER 24H [Theo-24]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"845488","drug_name":"Ramipril 1.25 MG CAP [Ramipril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"845507","drug_name":"Everolimus 10 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"845515","drug_name":"Everolimus 5 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"846378","drug_name":"levETIRAcetam ER 750 MG TAB ER 24H [levETIRAcetam ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847189","drug_name":"HumuLIN 70/30 KwikPen (70-30) 100 UNIT/ML SUSP PEN [HumuLIN 70/30 KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847191","drug_name":"Insulin Asp Prot & Asp FlexPen (70-30) 100 UNIT/ML SUSP PEN [Insulin Asp Prot & Asp FlexPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847199","drug_name":"HumuLIN N KwikPen 100 UNIT/ML SUSP PEN [HumuLIN N KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847213","drug_name":"HumaLOG Mix 50/50 KwikPen (50-50) 100 UNIT/ML SUSP PEN [HumaLOG Mix 50/50 KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847232","drug_name":"Lantus SoloStar 100 UNIT/ML SOLN PEN [Lantus SoloStar]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847245","drug_name":"Norditropin FlexPro 15 MG/1.5ML SOLN PEN [Norditropin FlexPro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847247","drug_name":"Norditropin FlexPro 5 MG/1.5ML SOLN PEN [Norditropin FlexPro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847252","drug_name":"Insulin Lispro Prot & Lispro (75-25) 100 UNIT/ML SUSP PEN [Insulin Lispro Prot & Lispro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847254","drug_name":"HumaLOG Mix 75/25 KwikPen (75-25) 100 UNIT/ML SUSP PEN [HumaLOG Mix 75/25 KwikPen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847348","drug_name":"Norditropin FlexPro 10 MG/1.5ML SOLN PEN [Norditropin FlexPro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"847734","drug_name":"Coartem 20-120 MG TAB [Coartem]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848131","drug_name":"amLODIPine-Valsartan-HCTZ 10-160-12.5 MG TAB [amLODIPine-Valsartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848135","drug_name":"amLODIPine-Valsartan-HCTZ 10-320-25 MG TAB [amLODIPine-Valsartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848140","drug_name":"amLODIPine-Valsartan-HCTZ 5-160-12.5 MG TAB [amLODIPine-Valsartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848145","drug_name":"amLODIPine-Valsartan-HCTZ 5-160-25 MG TAB [amLODIPine-Valsartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848151","drug_name":"amLODIPine-Valsartan-HCTZ 10-160-25 MG TAB [amLODIPine-Valsartan-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848164","drug_name":"Simponi 50 MG/0.5ML SOLN PRSYR [Simponi]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848176","drug_name":"Betamethasone Dipropionate Aug 0.05 % CREAM [Betamethasone Dipropionate Aug]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848178","drug_name":"Betamethasone Dipropionate Aug 0.05 % LOTION [Betamethasone Dipropionate Aug]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848180","drug_name":"Betamethasone Dipropionate Aug 0.05 % OINTMENT [Betamethasone Dipropionate Aug]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848208","drug_name":"Betamethasone Dipropionate Aug 0.05 % GEL [Betamethasone Dipropionate Aug]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848330","drug_name":"Estring 7.5 MCG/24HR RING [Estring]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848582","drug_name":"rOPINIRole HCl ER 6 MG TAB ER 24H [rOPINIRole HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848726","drug_name":"Fanapt 1 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848730","drug_name":"Fanapt 10 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848734","drug_name":"Fanapt 12 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848738","drug_name":"Fanapt 2 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848742","drug_name":"Fanapt 4 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848746","drug_name":"Fanapt 6 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848750","drug_name":"Fanapt 8 MG TAB [Fanapt]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848752","drug_name":"Fanapt Titration Pack A 1 & 2 & 4 & 6 MG TAB [Fanapt Titration Pack A]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848943","drug_name":"Cholestyramine 4 GM/DOSE POWDER [Cholestyramine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848951","drug_name":"Prevalite 4 GM/DOSE POWDER [Prevalite]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"848956","drug_name":"Ciprofloxacin HCl 0.2 % SOLUTION [Ciprofloxacin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849385","drug_name":"Amantadine HCl 50 MG/5ML SOLUTION [Amantadine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849389","drug_name":"Amantadine HCl 100 MG CAP [Amantadine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849398","drug_name":"Naproxen Sodium 275 MG TAB [Naproxen Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849431","drug_name":"Naproxen Sodium 550 MG TAB [Naproxen Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849501","drug_name":"Desmopressin Acetate 4 MCG/ML SOLUTION [Desmopressin Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849506","drug_name":"Desmopressin Ace Spray Refrig 0.01 % SOLUTION [Desmopressin Ace Spray Refrig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849515","drug_name":"Desmopressin Acetate 0.1 MG TAB [Desmopressin Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849599","drug_name":"Cimzia (2 Syringe) 200 MG/ML PREF SY KT [Cimzia (2 Syringe)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"849827","drug_name":"Tolvaptan 15 MG TAB [Tolvaptan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"849833","drug_name":"Tolvaptan 30 MG TAB [Tolvaptan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"849851","drug_name":"Norditropin FlexPro 30 MG/3ML SOLN PEN [Norditropin FlexPro]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"850087","drug_name":"lamoTRIgine ER 100 MG TAB ER 24H [lamoTRIgine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"850091","drug_name":"lamoTRIgine ER 50 MG TAB ER 24H [lamoTRIgine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"850309","drug_name":"Besivance 0.6 % SUSPENSION [Besivance]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"850457","drug_name":"Prezista 150 MG TAB [Prezista]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"852877","drug_name":"quiNIDine Sulfate 200 MG TAB [quiNIDine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"852913","drug_name":"quiNIDine Sulfate 300 MG TAB [quiNIDine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"852920","drug_name":"quiNIDine Gluconate ER 324 MG TAB ER [quiNIDine Gluconate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"853201","drug_name":"QUEtiapine Fumarate ER 50 MG TAB ER 24H [QUEtiapine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854228","drug_name":"Enoxaparin Sodium 30 MG/0.3ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854235","drug_name":"Enoxaparin Sodium 40 MG/0.4ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854238","drug_name":"Enoxaparin Sodium 60 MG/0.6ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854241","drug_name":"Enoxaparin Sodium 80 MG/0.8ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854245","drug_name":"Enoxaparin Sodium 120 MG/0.8ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854248","drug_name":"Enoxaparin Sodium 100 MG/ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854252","drug_name":"Enoxaparin Sodium 150 MG/ML SOLN PRSYR [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854255","drug_name":"Enoxaparin Sodium 300 MG/3ML SOLUTION [Enoxaparin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854302","drug_name":"Omnitrope 10 MG/1.5ML SOLN CART [Omnitrope]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854801","drug_name":"Diclofenac Sodium 0.1 % SOLUTION [Diclofenac Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854830","drug_name":"Lisdexamfetamine Dimesylate 20 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854834","drug_name":"Lisdexamfetamine Dimesylate 30 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854838","drug_name":"Lisdexamfetamine Dimesylate 40 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854842","drug_name":"Lisdexamfetamine Dimesylate 70 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854846","drug_name":"Lisdexamfetamine Dimesylate 60 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854850","drug_name":"Lisdexamfetamine Dimesylate 50 MG CAP [Lisdexamfetamine Dimesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854859","drug_name":"Multaq 400 MG TAB [Multaq]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854868","drug_name":"RABEprazole Sodium 20 MG TAB DR [RABEprazole Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854873","drug_name":"Zolpidem Tartrate 10 MG TAB [Zolpidem Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854876","drug_name":"Zolpidem Tartrate 5 MG TAB [Zolpidem Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854880","drug_name":"Zolpidem Tartrate ER 12.5 MG TAB ER [Zolpidem Tartrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854894","drug_name":"Zolpidem Tartrate ER 6.25 MG TAB ER [Zolpidem Tartrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"854901","drug_name":"Bisoprolol Fumarate 10 MG TAB [Bisoprolol Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854905","drug_name":"Bisoprolol Fumarate 5 MG TAB [Bisoprolol Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854908","drug_name":"Bisoprolol-hydroCHLOROthiazide 10-6.25 MG TAB [Bisoprolol-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854916","drug_name":"Bisoprolol-hydroCHLOROthiazide 2.5-6.25 MG TAB [Bisoprolol-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854919","drug_name":"Bisoprolol-hydroCHLOROthiazide 5-6.25 MG TAB [Bisoprolol-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854925","drug_name":"Perindopril Erbumine 8 MG TAB [Perindopril Erbumine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854984","drug_name":"Perindopril Erbumine 2 MG TAB [Perindopril Erbumine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854988","drug_name":"Perindopril Erbumine 4 MG TAB [Perindopril Erbumine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"854997","drug_name":"Cortisporin-TC 3.3-3-10-0.5 MG/ML SUSPENSION [Cortisporin-TC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855178","drug_name":"Tolterodine Tartrate 1 MG TAB [Tolterodine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855182","drug_name":"Tolterodine Tartrate ER 2 MG CAP ER 24H [Tolterodine Tartrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855189","drug_name":"Tolterodine Tartrate ER 4 MG CAP ER 24H [Tolterodine Tartrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855194","drug_name":"Tolterodine Tartrate 2 MG TAB [Tolterodine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855288","drug_name":"Warfarin Sodium 1 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855292","drug_name":"Jantoven 1 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855296","drug_name":"Warfarin Sodium 10 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855300","drug_name":"Jantoven 10 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855302","drug_name":"Warfarin Sodium 2 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855306","drug_name":"Jantoven 2 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855312","drug_name":"Warfarin Sodium 2.5 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855316","drug_name":"Jantoven 2.5 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855318","drug_name":"Warfarin Sodium 3 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855322","drug_name":"Jantoven 3 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855324","drug_name":"Warfarin Sodium 4 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855328","drug_name":"Jantoven 4 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855332","drug_name":"Warfarin Sodium 5 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855336","drug_name":"Jantoven 5 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855338","drug_name":"Warfarin Sodium 6 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855342","drug_name":"Jantoven 6 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855344","drug_name":"Warfarin Sodium 7.5 MG TAB [Warfarin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855348","drug_name":"Jantoven 7.5 MG TAB [Jantoven]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855474","drug_name":"Alclometasone Dipropionate 0.05 % CREAM [Alclometasone Dipropionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855480","drug_name":"Alclometasone Dipropionate 0.05 % OINTMENT [Alclometasone Dipropionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855613","drug_name":"Foscavir 6000 MG/250ML SOLUTION [Foscavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855664","drug_name":"Diclofenac Sodium 25 MG TAB DR [Diclofenac Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855671","drug_name":"Phenytoin Sodium Extended 100 MG CAP [Phenytoin Sodium Extended]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855673","drug_name":"Dilantin 100 MG CAP [Dilantin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855812","drug_name":"Prasugrel HCl 10 MG TAB [Prasugrel HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"855818","drug_name":"Prasugrel HCl 5 MG TAB [Prasugrel HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"855856","drug_name":"Apomorphine HCl 30 MG/3ML SOLN CART [Apomorphine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855858","drug_name":"Apokyn 30 MG/3ML SOLN CART [Apokyn]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855861","drug_name":"Phenytoin Sodium Extended 200 MG CAP [Phenytoin Sodium Extended]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855863","drug_name":"Phenytek 200 MG CAP [Phenytek]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855871","drug_name":"Dilantin 30 MG CAP [Dilantin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855873","drug_name":"Phenytoin Sodium Extended 300 MG CAP [Phenytoin Sodium Extended]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855875","drug_name":"Phenytek 300 MG CAP [Phenytek]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855906","drug_name":"Diclofenac Sodium 50 MG TAB DR [Diclofenac Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855926","drug_name":"Diclofenac Sodium 75 MG TAB DR [Diclofenac Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"855942","drug_name":"Diclofenac Potassium 50 MG TAB [Diclofenac Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856364","drug_name":"traZODone HCl 150 MG TAB [traZODone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856373","drug_name":"traZODone HCl 100 MG TAB [traZODone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856377","drug_name":"traZODone HCl 50 MG TAB [traZODone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856448","drug_name":"Propranolol HCl 10 MG TAB [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856457","drug_name":"Propranolol HCl 20 MG TAB [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856460","drug_name":"Propranolol HCl ER 120 MG CAP ER 24H [Propranolol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856467","drug_name":"Tri-Lo-Sprintec 0.18/0.215/0.25 MG-25 MCG TAB [Tri-Lo-Sprintec]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856481","drug_name":"Propranolol HCl ER 160 MG CAP ER 24H [Propranolol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856519","drug_name":"Propranolol HCl 40 MG TAB [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856535","drug_name":"Propranolol HCl ER 60 MG CAP ER 24H [Propranolol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856556","drug_name":"Propranolol HCl 60 MG TAB [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856569","drug_name":"Propranolol HCl ER 80 MG CAP ER 24H [Propranolol HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856578","drug_name":"Propranolol HCl 80 MG TAB [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856652","drug_name":"Dantrolene Sodium 100 MG CAP [Dantrolene Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856656","drug_name":"Dantrolene Sodium 25 MG CAP [Dantrolene Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856660","drug_name":"Dantrolene Sodium 50 MG CAP [Dantrolene Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856666","drug_name":"Xifaxan 550 MG TAB [Xifaxan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856706","drug_name":"Perphenazine-Amitriptyline 2-10 MG TAB [Perphenazine-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856720","drug_name":"Perphenazine-Amitriptyline 4-10 MG TAB [Perphenazine-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856724","drug_name":"Propranolol HCl 20 MG/5ML SOLUTION [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856733","drug_name":"Propranolol HCl 40 MG/5ML SOLUTION [Propranolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856762","drug_name":"Amitriptyline HCl 100 MG TAB [Amitriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856769","drug_name":"Chlordiazepoxide-Amitriptyline 5-12.5 MG TAB [Chlordiazepoxide-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"856773","drug_name":"Amitriptyline HCl 150 MG TAB [Amitriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856783","drug_name":"Amitriptyline HCl 10 MG TAB [Amitriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856792","drug_name":"Chlordiazepoxide-Amitriptyline 10-25 MG TAB [Chlordiazepoxide-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"856797","drug_name":"Perphenazine-Amitriptyline 2-25 MG TAB [Perphenazine-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856825","drug_name":"Perphenazine-Amitriptyline 4-25 MG TAB [Perphenazine-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856834","drug_name":"Amitriptyline HCl 25 MG TAB [Amitriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856840","drug_name":"Perphenazine-Amitriptyline 4-50 MG TAB [Perphenazine-Amitriptyline]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856845","drug_name":"Amitriptyline HCl 50 MG TAB [Amitriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856853","drug_name":"Amitriptyline HCl 75 MG TAB [Amitriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"856940","drug_name":"Hydrocodone-Acetaminophen 2.5-108 MG/5ML SOLUTION [Hydrocodone-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"856999","drug_name":"Hydrocodone-Acetaminophen 10-325 MG TAB [Hydrocodone-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"857002","drug_name":"Hydrocodone-Acetaminophen 5-325 MG TAB [Hydrocodone-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"857005","drug_name":"Hydrocodone-Acetaminophen 7.5-325 MG TAB [Hydrocodone-Acetaminophen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"857166","drug_name":"Fosinopril Sodium-HCTZ 10-12.5 MG TAB [Fosinopril Sodium-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857169","drug_name":"Fosinopril Sodium 10 MG TAB [Fosinopril Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857174","drug_name":"Fosinopril Sodium-HCTZ 20-12.5 MG TAB [Fosinopril Sodium-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857183","drug_name":"Fosinopril Sodium 20 MG TAB [Fosinopril Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857187","drug_name":"Fosinopril Sodium 40 MG TAB [Fosinopril Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857216","drug_name":"Sevelamer HCl 400 MG TAB [Sevelamer HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857224","drug_name":"Sevelamer HCl 800 MG TAB [Sevelamer HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857297","drug_name":"clomiPRAMINE HCl 25 MG CAP [clomiPRAMINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857301","drug_name":"clomiPRAMINE HCl 50 MG CAP [clomiPRAMINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857305","drug_name":"clomiPRAMINE HCl 75 MG CAP [clomiPRAMINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857321","drug_name":"Bethanechol Chloride 10 MG TAB [Bethanechol Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857328","drug_name":"Bethanechol Chloride 25 MG TAB [Bethanechol Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857336","drug_name":"Bethanechol Chloride 5 MG TAB [Bethanechol Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857340","drug_name":"Bethanechol Chloride 50 MG TAB [Bethanechol Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857366","drug_name":"Econazole Nitrate 1 % CREAM [Econazole Nitrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857461","drug_name":"Clemastine Fumarate 2.68 MG TAB [Clemastine Fumarate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857560","drug_name":"Trospium Chloride 20 MG TAB [Trospium Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857564","drug_name":"Trospium Chloride ER 60 MG CAP ER 24H [Trospium Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857677","drug_name":"Terbutaline Sulfate 2.5 MG TAB [Terbutaline Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857683","drug_name":"Terbutaline Sulfate 5 MG TAB [Terbutaline Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857700","drug_name":"Diclofenac Sodium 1.5 % SOLUTION [Diclofenac Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"857706","drug_name":"Diclofenac-miSOPROStol 50-0.2 MG TAB DR [Diclofenac-miSOPROStol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858051","drug_name":"Invega Sustenna 78 MG/0.5ML SUSP PRSYR [Invega Sustenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858053","drug_name":"Invega Sustenna 234 MG/1.5ML SUSP PRSYR [Invega Sustenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858055","drug_name":"Invega Sustenna 156 MG/ML SUSP PRSYR [Invega Sustenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858057","drug_name":"Invega Sustenna 117 MG/0.75ML SUSP PRSYR [Invega Sustenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858074","drug_name":"Invega Sustenna 39 MG/0.25ML SUSP PRSYR [Invega Sustenna]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858625","drug_name":"Pramipexole Dihydrochloride 0.75 MG TAB [Pramipexole Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858733","drug_name":"Ursodiol 500 MG TAB [Ursodiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858747","drug_name":"Ursodiol 300 MG CAP [Ursodiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858751","drug_name":"Ursodiol 250 MG TAB [Ursodiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858778","drug_name":"Hydrocodone-Ibuprofen 5-200 MG TAB [Hydrocodone-Ibuprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"858798","drug_name":"Hydrocodone-Ibuprofen 7.5-200 MG TAB [Hydrocodone-Ibuprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"858804","drug_name":"Enalapril Maleate 2.5 MG TAB [Enalapril Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858810","drug_name":"Enalapril Maleate 20 MG TAB [Enalapril Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858813","drug_name":"Enalapril Maleate 5 MG TAB [Enalapril Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858817","drug_name":"Enalapril Maleate 10 MG TAB [Enalapril Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858824","drug_name":"Enalapril-Hydrochlorothiazide 5-12.5 MG TAB [Enalapril-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"858828","drug_name":"Enalapril-Hydrochlorothiazide 10-25 MG TAB [Enalapril-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859033","drug_name":"Pramipexole Dihydrochloride 0.125 MG TAB [Pramipexole Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859040","drug_name":"Pramipexole Dihydrochloride 0.25 MG TAB [Pramipexole Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859044","drug_name":"Pramipexole Dihydrochloride 0.5 MG TAB [Pramipexole Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859048","drug_name":"Pramipexole Dihydrochloride 1.5 MG TAB [Pramipexole Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859052","drug_name":"Pramipexole Dihydrochloride 1 MG TAB [Pramipexole Dihydrochloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859088","drug_name":"Ventolin HFA 108 (90 Base) MCG/ACT AERO SOLN [Ventolin HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859186","drug_name":"Selegiline HCl 5 MG CAP [Selegiline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859193","drug_name":"Selegiline HCl 5 MG TAB [Selegiline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859315","drug_name":"Hydrocodone-Ibuprofen 10-200 MG TAB [Hydrocodone-Ibuprofen]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"859419","drug_name":"Rosuvastatin Calcium 40 MG TAB [Rosuvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859424","drug_name":"Rosuvastatin Calcium 5 MG TAB [Rosuvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859747","drug_name":"Rosuvastatin Calcium 10 MG TAB [Rosuvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859751","drug_name":"Rosuvastatin Calcium 20 MG TAB [Rosuvastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859835","drug_name":"FluPHENAZine HCl 2.5 MG/5ML ELIXIR [FluPHENAZine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859841","drug_name":"fluPHENAZine HCl 10 MG TAB [fluPHENAZine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859975","drug_name":"Asenapine Maleate 10 MG SL TAB [Asenapine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"859981","drug_name":"Asenapine Maleate 5 MG SL TAB [Asenapine Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860103","drug_name":"Ketorolac Tromethamine 0.4 % SOLUTION [Ketorolac Tromethamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860107","drug_name":"Ketorolac Tromethamine 0.5 % SOLUTION [Ketorolac Tromethamine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860215","drug_name":"Megestrol Acetate 20 MG TAB [Megestrol Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860221","drug_name":"Megestrol Acetate 40 MG TAB [Megestrol Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860225","drug_name":"Megestrol Acetate 400 MG/10ML SUSPENSION [Megestrol Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860654","drug_name":"Epinastine HCl 0.05 % SOLUTION [Epinastine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860695","drug_name":"Galantamine Hydrobromide ER 16 MG CAP ER 24H [Galantamine Hydrobromide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860707","drug_name":"Galantamine Hydrobromide ER 24 MG CAP ER 24H [Galantamine Hydrobromide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860715","drug_name":"Galantamine Hydrobromide ER 8 MG CAP ER 24H [Galantamine Hydrobromide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860771","drug_name":"Trimethobenzamide HCl 300 MG CAP [Trimethobenzamide HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860805","drug_name":"Azelastine HCl 0.05 % SOLUTION [Azelastine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860895","drug_name":"Sabril 500 MG TAB [Sabril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860898","drug_name":"Sabril 500 MG PACKET [Sabril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860901","drug_name":"Galantamine Hydrobromide 4 MG/ML SOLUTION [Galantamine Hydrobromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860918","drug_name":"fluPHENAZine HCl 5 MG TAB [fluPHENAZine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860975","drug_name":"metFORMIN HCl ER 500 MG TAB ER 24H [metFORMIN HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"860981","drug_name":"metFORMIN HCl ER 750 MG TAB ER 24H [metFORMIN HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861004","drug_name":"metFORMIN HCl 1000 MG TAB [metFORMIN HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861007","drug_name":"metFORMIN HCl 500 MG TAB [metFORMIN HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861010","drug_name":"metFORMIN HCl 850 MG TAB [metFORMIN HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861064","drug_name":"Sertraline HCl 20 MG/ML CONC [Sertraline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861132","drug_name":"Alfuzosin HCl ER 10 MG TAB ER 24H [Alfuzosin HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861156","drug_name":"Propafenone HCl ER 225 MG CAP ER 12H [Propafenone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861164","drug_name":"Propafenone HCl ER 325 MG CAP ER 12H [Propafenone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861171","drug_name":"Propafenone HCl ER 425 MG CAP ER 12H [Propafenone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861200","drug_name":"Brimonidine Tartrate 0.2 % SOLUTION [Brimonidine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861208","drug_name":"Brimonidine Tartrate 0.15 % SOLUTION [Brimonidine Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861221","drug_name":"Amphetamine-Dextroamphet ER 10 MG CAP ER 24H [Amphetamine-Dextroamphet ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861223","drug_name":"Amphetamine-Dextroamphet ER 15 MG CAP ER 24H [Amphetamine-Dextroamphet ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861225","drug_name":"Amphetamine-Dextroamphet ER 20 MG CAP ER 24H [Amphetamine-Dextroamphet ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861227","drug_name":"Amphetamine-Dextroamphet ER 25 MG CAP ER 24H [Amphetamine-Dextroamphet ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861232","drug_name":"Amphetamine-Dextroamphet ER 30 MG CAP ER 24H [Amphetamine-Dextroamphet ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861237","drug_name":"Amphetamine-Dextroamphet ER 5 MG CAP ER 24H [Amphetamine-Dextroamphet ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861356","drug_name":"Fondaparinux Sodium 10 MG/0.8ML SOLUTION [Fondaparinux Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861360","drug_name":"Fondaparinux Sodium 2.5 MG/0.5ML SOLUTION [Fondaparinux Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861363","drug_name":"Fondaparinux Sodium 5 MG/0.4ML SOLUTION [Fondaparinux Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861365","drug_name":"Fondaparinux Sodium 7.5 MG/0.6ML SOLUTION [Fondaparinux Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861370","drug_name":"Sevelamer Carbonate 2.4 GM PACKET [Sevelamer Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861375","drug_name":"Sevelamer Carbonate 0.8 GM PACKET [Sevelamer Carbonate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861402","drug_name":"Phenoxybenzamine HCl 10 MG CAP [Phenoxybenzamine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861424","drug_name":"Propafenone HCl 150 MG TAB [Propafenone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861427","drug_name":"Propafenone HCl 225 MG TAB [Propafenone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861430","drug_name":"Propafenone HCl 300 MG TAB [Propafenone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861434","drug_name":"Clobetasol Propionate 0.05 % GEL [Clobetasol Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861448","drug_name":"Clobetasol Propionate 0.05 % OINTMENT [Clobetasol Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861487","drug_name":"Clobetasol Propionate 0.05 % SOLUTION [Clobetasol Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861495","drug_name":"Clobetasol Propionate 0.05 % CREAM [Clobetasol Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861568","drug_name":"Esomeprazole Magnesium 10 MG PACKET [Esomeprazole Magnesium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861597","drug_name":"Pentamidine Isethionate 300 MG RECON SOLN [Pentamidine Isethionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861635","drug_name":"Brimonidine Tartrate-Timolol 0.2-0.5 % SOLUTION [Brimonidine Tartrate-Timolol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861643","drug_name":"Pitavastatin Calcium 1 MG TAB [Pitavastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861648","drug_name":"Pitavastatin Calcium 2 MG TAB [Pitavastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861652","drug_name":"Pitavastatin Calcium 4 MG TAB [Pitavastatin Calcium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861657","drug_name":"Nitroglycerin 0.1 MG/HR PATCH 24HR [Nitroglycerin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861672","drug_name":"Dihydroergotamine Mesylate 1 MG/ML SOLUTION [Dihydroergotamine Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861731","drug_name":"glipiZIDE-metFORMIN HCl 2.5-250 MG TAB [glipiZIDE-metFORMIN HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861736","drug_name":"glipiZIDE-metFORMIN HCl 2.5-500 MG TAB [glipiZIDE-metFORMIN HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861740","drug_name":"glipiZIDE-metFORMIN HCl 5-500 MG TAB [glipiZIDE-metFORMIN HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861743","drug_name":"GlyBURIDE-MetFORMIN 1.25-250 MG TAB [GlyBURIDE-MetFORMIN]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861748","drug_name":"GlyBURIDE-MetFORMIN 2.5-500 MG TAB [GlyBURIDE-MetFORMIN]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861753","drug_name":"GlyBURIDE-MetFORMIN 5-500 MG TAB [GlyBURIDE-MetFORMIN]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861783","drug_name":"Pioglitazone HCl-Metformin HCl 15-500 MG TAB [Pioglitazone HCl-Metformin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861822","drug_name":"Pioglitazone HCl-Metformin HCl 15-850 MG TAB [Pioglitazone HCl-Metformin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861848","drug_name":"FluPHENAZine HCl 5 MG/ML CONC [FluPHENAZine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"861960","drug_name":"Armodafinil 200 MG TAB [Armodafinil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"861966","drug_name":"Ventavis 20 MCG/ML SOLUTION [Ventavis]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"862006","drug_name":"guanFACINE HCl ER 1 MG TAB ER 24H [guanFACINE HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"862013","drug_name":"guanFACINE HCl ER 2 MG TAB ER 24H [guanFACINE HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"862019","drug_name":"guanFACINE HCl ER 3 MG TAB ER 24H [guanFACINE HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"862025","drug_name":"guanFACINE HCl ER 4 MG TAB ER 24H [guanFACINE HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"863038","drug_name":"Bepotastine Besilate 1.5 % SOLUTION [Bepotastine Besilate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863559","drug_name":"valGANciclovir HCl 50 MG/ML RECON SOLN [valGANciclovir HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863562","drug_name":"Valcyte 50 MG/ML RECON SOLN [Valcyte]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863599","drug_name":"oxyBUTYnin Chloride 5 MG/5ML SOLUTION [oxyBUTYnin Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863606","drug_name":"E.E.S. 400 400 MG TAB [E.E.S. 400]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863619","drug_name":"oxyBUTYnin Chloride ER 10 MG TAB ER 24H [oxyBUTYnin Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863628","drug_name":"oxyBUTYnin Chloride ER 15 MG TAB ER 24H [oxyBUTYnin Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863636","drug_name":"oxyBUTYnin Chloride ER 5 MG TAB ER 24H [oxyBUTYnin Chloride ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863664","drug_name":"oxyBUTYnin Chloride 5 MG TAB [oxyBUTYnin Chloride]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863669","drug_name":"Tamsulosin HCl 0.4 MG CAP [Tamsulosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863829","drug_name":"Creon 24000-76000 UNIT CP DR PART [Creon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863836","drug_name":"Creon 6000-19000 UNIT CP DR PART [Creon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"863841","drug_name":"Creon 12000-38000 UNIT CP DR PART [Creon]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"864110","drug_name":"Omnitrope 5 MG/1.5ML SOLN CART [Omnitrope]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"864650","drug_name":"Zirgan 0.15 % GEL [Zirgan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"864661","drug_name":"Efavirenz-lamiVUDine-Tenofovir 600-300-300 MG TAB [Efavirenz-lamiVUDine-Tenofovir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"864675","drug_name":"Atovaquone-Proguanil HCl 250-100 MG TAB [Atovaquone-Proguanil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"864681","drug_name":"Atovaquone-Proguanil HCl 62.5-25 MG TAB [Atovaquone-Proguanil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"864706","drug_name":"Methadone HCl 10 MG TAB [Methadone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"864718","drug_name":"Methadone HCl 5 MG TAB [Methadone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"864761","drug_name":"Methadone HCl 5 MG/5ML SOLUTION [Methadone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"864769","drug_name":"Methadone HCl 10 MG/5ML SOLUTION [Methadone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"864978","drug_name":"Methadone HCl 40 MG TAB SOL [Methadone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"864980","drug_name":"Methadose 40 MG TAB SOL [Methadose]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"865098","drug_name":"HumaLOG 100 UNIT/ML SOLUTION [HumaLOG]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"865117","drug_name":"fluPHENAZine HCl 1 MG TAB [fluPHENAZine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"865123","drug_name":"fluPHENAZine HCl 2.5 MG TAB [fluPHENAZine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"865208","drug_name":"Emsam 6 MG/24HR PATCH 24HR [Emsam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"865212","drug_name":"Emsam 9 MG/24HR PATCH 24HR [Emsam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"865216","drug_name":"Emsam 12 MG/24HR PATCH 24HR [Emsam]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866018","drug_name":"busPIRone HCl 15 MG TAB [busPIRone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866021","drug_name":"Cyproheptadine HCl 2 MG/5ML SYRUP [Cyproheptadine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866042","drug_name":"Neomycin Sulfate 500 MG TAB [Neomycin Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866049","drug_name":"Serevent Diskus 50 MCG/ACT AER POW BA [Serevent Diskus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866083","drug_name":"busPIRone HCl 10 MG TAB [busPIRone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866090","drug_name":"busPIRone HCl 30 MG TAB [busPIRone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866094","drug_name":"busPIRone HCl 5 MG TAB [busPIRone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866103","drug_name":"Paliperidone ER 1.5 MG TAB ER 24H [Paliperidone ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866144","drug_name":"Cyproheptadine HCl 4 MG TAB [Cyproheptadine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866303","drug_name":"TEGretol-XR 100 MG TAB ER 12H [TEGretol-XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866305","drug_name":"TEGretol-XR 200 MG TAB ER 12H [TEGretol-XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866307","drug_name":"TEGretol-XR 400 MG TAB ER 12H [TEGretol-XR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866412","drug_name":"Metoprolol Succinate ER 100 MG TAB ER 24H [Metoprolol Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866419","drug_name":"Metoprolol Succinate ER 200 MG TAB ER 24H [Metoprolol Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866427","drug_name":"Metoprolol Succinate ER 25 MG TAB ER 24H [Metoprolol Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866436","drug_name":"Metoprolol Succinate ER 50 MG TAB ER 24H [Metoprolol Succinate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866479","drug_name":"Metoprolol-hydroCHLOROthiazide 100-25 MG TAB [Metoprolol-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866482","drug_name":"Metoprolol-hydroCHLOROthiazide 50-25 MG TAB [Metoprolol-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866491","drug_name":"Metoprolol-Hydrochlorothiazide 100-50 MG TAB [Metoprolol-Hydrochlorothiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866511","drug_name":"Metoprolol Tartrate 100 MG TAB [Metoprolol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866514","drug_name":"Metoprolol Tartrate 50 MG TAB [Metoprolol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866910","drug_name":"Colesevelam HCl 625 MG TAB [Colesevelam HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"866924","drug_name":"Metoprolol Tartrate 25 MG TAB [Metoprolol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"867502","drug_name":"PAZOPanib HCl 200 MG TAB [PAZOPanib HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"867506","drug_name":"Votrient 200 MG TAB [Votrient]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"876514","drug_name":"Telmisartan-Amlodipine 40-10 MG TAB [Telmisartan-Amlodipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"876519","drug_name":"Telmisartan-Amlodipine 80-10 MG TAB [Telmisartan-Amlodipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"876524","drug_name":"Telmisartan-Amlodipine 40-5 MG TAB [Telmisartan-Amlodipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"876529","drug_name":"Telmisartan-Amlodipine 80-5 MG TAB [Telmisartan-Amlodipine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"881341","drug_name":"Adefovir Dipivoxil 10 MG TAB [Adefovir Dipivoxil]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"883826","drug_name":"Tranexamic Acid 650 MG TAB [Tranexamic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"884173","drug_name":"cloNIDine HCl 0.1 MG TAB [cloNIDine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"884185","drug_name":"cloNIDine HCl 0.2 MG TAB [cloNIDine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"884189","drug_name":"cloNIDine HCl 0.3 MG TAB [cloNIDine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"884308","drug_name":"Nystatin 100000 UNIT/GM OINTMENT [Nystatin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"884385","drug_name":"Dextroamphetamine Sulfate 10 MG TAB [Dextroamphetamine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884386","drug_name":"Dextroamphetamine Sulfate 5 MG TAB [Dextroamphetamine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884520","drug_name":"Dextroamphetamine Sulfate ER 10 MG CAP ER 24H [Dextroamphetamine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884522","drug_name":"Dextroamphetamine Sulfate 5 MG/5ML SOLUTION [Dextroamphetamine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884526","drug_name":"ProCentra 5 MG/5ML SOLUTION [ProCentra]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884532","drug_name":"Dextroamphetamine Sulfate ER 15 MG CAP ER 24H [Dextroamphetamine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884535","drug_name":"Dextroamphetamine Sulfate ER 5 MG CAP ER 24H [Dextroamphetamine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884619","drug_name":"Promacta 75 MG TAB [Promacta]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"884655","drug_name":"Amphetamine Sulfate 5 MG TAB [Amphetamine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"884707","drug_name":"Estradiol 10 MCG TAB [Estradiol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"885209","drug_name":"Benztropine Mesylate 2 MG TAB [Benztropine Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"885213","drug_name":"Benztropine Mesylate 1 MG TAB [Benztropine Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"885219","drug_name":"Benztropine Mesylate 0.5 MG TAB [Benztropine Mesylate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"885857","drug_name":"Balsalazide Disodium 750 MG CAP [Balsalazide Disodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"886634","drug_name":"Butorphanol Tartrate 10 MG/ML SOLUTION [Butorphanol Tartrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"886662","drug_name":"Flecainide Acetate 50 MG TAB [Flecainide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"886666","drug_name":"Flecainide Acetate 100 MG TAB [Flecainide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"886671","drug_name":"Flecainide Acetate 150 MG TAB [Flecainide Acetate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"890786","drug_name":"Gynazole-1 2 % CREAM [Gynazole-1]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"891874","drug_name":"Morphine Sulfate ER 100 MG TAB ER [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"891881","drug_name":"Morphine Sulfate ER 15 MG TAB ER [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"891888","drug_name":"Morphine Sulfate ER 30 MG TAB ER [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"891893","drug_name":"Morphine Sulfate ER 60 MG TAB ER [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892246","drug_name":"Levothyroxine Sodium 100 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"892251","drug_name":"Levothyroxine Sodium 200 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"892255","drug_name":"Levothyroxine Sodium 300 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"892345","drug_name":"Morphine Sulfate ER 30 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892352","drug_name":"Morphine Sulfate ER 60 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892494","drug_name":"Morphine Sulfate ER 10 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892554","drug_name":"Morphine Sulfate ER 100 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892582","drug_name":"Morphine Sulfate 15 MG TAB [Morphine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892589","drug_name":"Morphine Sulfate 10 MG/5ML SOLUTION [Morphine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892596","drug_name":"Morphine Sulfate ER 20 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892625","drug_name":"Morphine Sulfate (Concentrate) 100 MG/5ML SOLUTION [Morphine Sulfate (Concentrate)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892646","drug_name":"Morphine Sulfate ER 200 MG TAB ER [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"892672","drug_name":"Morphine Sulfate 30 MG TAB [Morphine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"894780","drug_name":"Morphine Sulfate 20 MG/5ML SOLUTION [Morphine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"894801","drug_name":"Morphine Sulfate ER 50 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"894814","drug_name":"Morphine Sulfate ER 80 MG CAP ER 24H [Morphine Sulfate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"894859","drug_name":"Acitretin 17.5 MG CAP [Acitretin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"895487","drug_name":"Fluticasone Propionate 0.005 % OINTMENT [Fluticasone Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"895670","drug_name":"QUEtiapine Fumarate ER 150 MG TAB ER 24H [QUEtiapine Fumarate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"895987","drug_name":"Fluticasone Propionate 0.05 % CREAM [Fluticasone Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"895994","drug_name":"Fluticasone Propionate HFA 44 MCG/ACT AEROSOL [Fluticasone Propionate HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"895999","drug_name":"Fluticasone Propionate HFA 110 MCG/ACT AEROSOL [Fluticasone Propionate HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896004","drug_name":"Fluticasone Propionate HFA 220 MCG/ACT AEROSOL [Fluticasone Propionate HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896018","drug_name":"Fluticasone Propionate Diskus 50 MCG/ACT AER POW BA [Fluticasone Propionate Diskus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896021","drug_name":"Fluticasone Propionate Diskus 100 MCG/ACT AER POW BA [Fluticasone Propionate Diskus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896025","drug_name":"Fluticasone Propionate Diskus 250 MCG/ACT AER POW BA [Fluticasone Propionate Diskus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896110","drug_name":"Naftifine HCl 1 % CREAM [Naftifine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896184","drug_name":"Fluticasone-Salmeterol 100-50 MCG/ACT AER POW BA [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896209","drug_name":"Fluticasone-Salmeterol 250-50 MCG/ACT AER POW BA [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896228","drug_name":"Fluticasone-Salmeterol 500-50 MCG/ACT AER POW BA [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896235","drug_name":"Advair HFA 45-21 MCG/ACT AEROSOL [Advair HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896236","drug_name":"Fluticasone-Salmeterol 45-21 MCG/ACT AEROSOL [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896237","drug_name":"Advair HFA 45-21 MCG/ACT AEROSOL [Advair HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896243","drug_name":"Advair HFA 115-21 MCG/ACT AEROSOL [Advair HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896244","drug_name":"Fluticasone-Salmeterol 115-21 MCG/ACT AEROSOL [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896245","drug_name":"Advair HFA 115-21 MCG/ACT AEROSOL [Advair HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896271","drug_name":"Advair HFA 230-21 MCG/ACT AEROSOL [Advair HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896272","drug_name":"Fluticasone-Salmeterol 230-21 MCG/ACT AEROSOL [Fluticasone-Salmeterol]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896273","drug_name":"Advair HFA 230-21 MCG/ACT AEROSOL [Advair HFA]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896758","drug_name":"Labetalol HCl 100 MG TAB [Labetalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896762","drug_name":"Labetalol HCl 200 MG TAB [Labetalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896766","drug_name":"Labetalol HCl 300 MG TAB [Labetalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896854","drug_name":"Chorionic Gonadotropin 10000 UNIT RECON SOLN [Chorionic Gonadotropin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"896856","drug_name":"Pregnyl 10000 UNIT RECON SOLN [Pregnyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897021","drug_name":"Dalfampridine ER 10 MG TAB ER 12H [Dalfampridine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897122","drug_name":"Liraglutide 18 MG/3ML SOLN PEN [Liraglutide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897126","drug_name":"Victoza 18 MG/3ML SOLN PEN [Victoza]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897294","drug_name":"Alocril 2 % SOLUTION [Alocril]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897612","drug_name":"Verapamil HCl ER 120 MG CAP ER 24H [Verapamil HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897618","drug_name":"Verapamil HCl ER 180 MG CAP ER 24H [Verapamil HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897624","drug_name":"Verapamil HCl ER 240 MG CAP ER 24H [Verapamil HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897640","drug_name":"Verapamil HCl ER 180 MG TAB ER [Verapamil HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897649","drug_name":"Verapamil HCl ER 240 MG TAB ER [Verapamil HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897657","drug_name":"HYDROmorphone HCl 1 MG/ML LIQUID [HYDROmorphone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"897659","drug_name":"Verapamil HCl ER 120 MG TAB ER [Verapamil HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897666","drug_name":"Verapamil HCl 120 MG TAB [Verapamil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897683","drug_name":"Verapamil HCl 80 MG TAB [Verapamil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"897696","drug_name":"HYDROmorphone HCl 2 MG TAB [HYDROmorphone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"897702","drug_name":"HYDROmorphone HCl 4 MG TAB [HYDROmorphone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"897710","drug_name":"HYDROmorphone HCl 8 MG TAB [HYDROmorphone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"897722","drug_name":"Verapamil HCl 40 MG TAB [Verapamil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898342","drug_name":"Amlodipine Besy-Benazepril HCl 10-20 MG CAP [Amlodipine Besy-Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898346","drug_name":"Amlodipine Besy-Benazepril HCl 10-40 MG CAP [Amlodipine Besy-Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898350","drug_name":"Amlodipine Besy-Benazepril HCl 2.5-10 MG CAP [Amlodipine Besy-Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898353","drug_name":"Amlodipine Besy-Benazepril HCl 5-10 MG CAP [Amlodipine Besy-Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898356","drug_name":"Amlodipine Besy-Benazepril HCl 5-20 MG CAP [Amlodipine Besy-Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898359","drug_name":"Amlodipine Besy-Benazepril HCl 5-40 MG CAP [Amlodipine Besy-Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898362","drug_name":"Benazepril-hydroCHLOROthiazide 10-12.5 MG TAB [Benazepril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898367","drug_name":"Benazepril-hydroCHLOROthiazide 20-12.5 MG TAB [Benazepril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898372","drug_name":"Benazepril-hydroCHLOROthiazide 20-25 MG TAB [Benazepril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898378","drug_name":"Benazepril-hydroCHLOROthiazide 5-6.25 MG TAB [Benazepril-hydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898490","drug_name":"Potassium Citrate ER 15 MEQ (1620 MG) TAB ER [Potassium Citrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898591","drug_name":"SandoSTATIN LAR Depot 20 MG KIT [SandoSTATIN LAR Depot]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898603","drug_name":"SandoSTATIN LAR Depot 30 MG KIT [SandoSTATIN LAR Depot]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898607","drug_name":"SandoSTATIN LAR Depot 10 MG KIT [SandoSTATIN LAR Depot]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898687","drug_name":"Benazepril HCl 10 MG TAB [Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898690","drug_name":"Benazepril HCl 20 MG TAB [Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898715","drug_name":"Pregabalin 20 MG/ML SOLUTION [Pregabalin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898719","drug_name":"Benazepril HCl 40 MG TAB [Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"898723","drug_name":"Benazepril HCl 5 MG TAB [Benazepril HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"899439","drug_name":"Dexmethylphenidate HCl ER 10 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899461","drug_name":"Dexmethylphenidate HCl ER 15 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899485","drug_name":"Dexmethylphenidate HCl ER 20 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899495","drug_name":"Dexmethylphenidate HCl ER 30 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899511","drug_name":"Dexmethylphenidate HCl ER 5 MG CAP ER 24H [Dexmethylphenidate HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899518","drug_name":"Dexmethylphenidate HCl 5 MG TAB [Dexmethylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899548","drug_name":"Dexmethylphenidate HCl 10 MG TAB [Dexmethylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"899557","drug_name":"Dexmethylphenidate HCl 2.5 MG TAB [Dexmethylphenidate HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"900156","drug_name":"lamoTRIgine ER 200 MG TAB ER 24H [lamoTRIgine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"900164","drug_name":"lamoTRIgine ER 25 MG TAB ER 24H [lamoTRIgine ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"900575","drug_name":"Ritonavir 100 MG TAB [Ritonavir]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"901614","drug_name":"Cayston 75 MG RECON SOLN [Cayston]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"902648","drug_name":"Norpace CR 100 MG CAP ER 12H [Norpace CR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"902652","drug_name":"Norpace CR 150 MG CAP ER 12H [Norpace CR]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"902729","drug_name":"HYDROmorphone HCl ER 12 MG TAB ER 24H [HYDROmorphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"902736","drug_name":"HYDROmorphone HCl ER 16 MG TAB ER 24H [HYDROmorphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"902741","drug_name":"HYDROmorphone HCl ER 8 MG TAB ER 24H [HYDROmorphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"903456","drug_name":"Liothyronine Sodium 5 MCG TAB [Liothyronine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903697","drug_name":"Liothyronine Sodium 25 MCG TAB [Liothyronine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903703","drug_name":"Liothyronine Sodium 50 MCG TAB [Liothyronine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903843","drug_name":"pyRIDostigmine Bromide 60 MG/5ML SOLUTION [pyRIDostigmine Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903847","drug_name":"Pyridostigmine Bromide ER 180 MG TAB ER [Pyridostigmine Bromide ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903857","drug_name":"pyRIDostigmine Bromide 60 MG TAB [pyRIDostigmine Bromide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903884","drug_name":"fluvoxaMINE Maleate 100 MG TAB [fluvoxaMINE Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903887","drug_name":"fluvoxaMINE Maleate 25 MG TAB [fluvoxaMINE Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"903891","drug_name":"fluvoxaMINE Maleate 50 MG TAB [fluvoxaMINE Maleate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904170","drug_name":"Primaquine Phosphate 26.3 (15 Base) MG TAB [Primaquine Phosphate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904396","drug_name":"Alendronate Sodium 35 MG TAB [Alendronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904419","drug_name":"Alendronate Sodium 10 MG TAB [Alendronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904431","drug_name":"Alendronate Sodium 70 MG TAB [Alendronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904447","drug_name":"Alendronate Sodium 70 MG/75ML SOLUTION [Alendronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904458","drug_name":"Pravastatin Sodium 10 MG TAB [Pravastatin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904467","drug_name":"Pravastatin Sodium 20 MG TAB [Pravastatin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904475","drug_name":"Pravastatin Sodium 40 MG TAB [Pravastatin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904481","drug_name":"Pravastatin Sodium 80 MG TAB [Pravastatin Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904589","drug_name":"Sotalol HCl 240 MG TAB [Sotalol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"904870","drug_name":"Buprenorphine 10 MCG/HR PATCH WK [Buprenorphine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"904876","drug_name":"Buprenorphine 20 MCG/HR PATCH WK [Buprenorphine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"904880","drug_name":"Buprenorphine 5 MCG/HR PATCH WK [Buprenorphine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"904932","drug_name":"Ibandronate Sodium 150 MG TAB [Ibandronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905024","drug_name":"Risedronate Sodium 35 MG TAB [Risedronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905028","drug_name":"Risedronate Sodium 150 MG TAB [Risedronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905032","drug_name":"Risedronate Sodium 30 MG TAB [Risedronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905041","drug_name":"Risedronate Sodium 5 MG TAB [Risedronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905092","drug_name":"Risedronate Sodium 35 MG TAB [Risedronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905100","drug_name":"Risedronate Sodium 35 MG TAB [Risedronate Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905158","drug_name":"Sirolimus 0.5 MG TAB [Sirolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905160","drug_name":"Rapamune 0.5 MG TAB [Rapamune]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905164","drug_name":"Dipentum 250 MG CAP [Dipentum]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905168","drug_name":"Protriptyline HCl 10 MG TAB [Protriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905172","drug_name":"Protriptyline HCl 5 MG TAB [Protriptyline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905199","drug_name":"hydrALAZINE HCl 10 MG TAB [hydrALAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905222","drug_name":"hydrALAZINE HCl 100 MG TAB [hydrALAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905225","drug_name":"hydrALAZINE HCl 25 MG TAB [hydrALAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905269","drug_name":"Trihexyphenidyl HCl 2 MG TAB [Trihexyphenidyl HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905273","drug_name":"Trihexyphenidyl HCl 0.4 MG/ML SOLUTION [Trihexyphenidyl HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905283","drug_name":"Trihexyphenidyl HCl 5 MG TAB [Trihexyphenidyl HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905341","drug_name":"Demeclocycline HCl 150 MG TAB [Demeclocycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905347","drug_name":"Demeclocycline HCl 300 MG TAB [Demeclocycline HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905369","drug_name":"chlordiazePOXIDE HCl 10 MG CAP [chlordiazePOXIDE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"905377","drug_name":"Isosorb Dinitrate-hydrALAZINE 20-37.5 MG TAB [Isosorb Dinitrate-hydrALAZINE]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905390","drug_name":"Carglumic Acid 200 MG TAB SOL [Carglumic Acid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905394","drug_name":"Carbaglu 200 MG TAB SOL [Carbaglu]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905395","drug_name":"hydrALAZINE HCl 50 MG TAB [hydrALAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905451","drug_name":"Levothyroxine Sodium 112 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905453","drug_name":"Tirosint 112 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905455","drug_name":"Levothyroxine Sodium 137 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905457","drug_name":"Tirosint 137 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905458","drug_name":"Levothyroxine Sodium 75 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905460","drug_name":"Tirosint 75 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905462","drug_name":"Levothyroxine Sodium 88 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905464","drug_name":"Tirosint 88 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"905495","drug_name":"chlordiazePOXIDE HCl 25 MG CAP [chlordiazePOXIDE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"905516","drug_name":"chlordiazePOXIDE HCl 5 MG CAP [chlordiazePOXIDE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"96304","drug_name":"Primidone 250 MG TAB [Primidone]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966153","drug_name":"Euthyrox 25 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966157","drug_name":"Levoxyl 25 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966158","drug_name":"Synthroid 25 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966160","drug_name":"Euthyrox 50 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966164","drug_name":"Levoxyl 50 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966166","drug_name":"Euthyrox 75 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966170","drug_name":"Levoxyl 75 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966171","drug_name":"Synthroid 75 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966173","drug_name":"Euthyrox 88 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966175","drug_name":"Levoxyl 88 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966177","drug_name":"Euthyrox 100 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966182","drug_name":"Euthyrox 112 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966184","drug_name":"Levoxyl 112 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966185","drug_name":"Synthroid 112 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966187","drug_name":"Euthyrox 125 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966190","drug_name":"Levoxyl 125 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966191","drug_name":"Synthroid 125 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966194","drug_name":"Levoxyl 137 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966196","drug_name":"Euthyrox 150 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966200","drug_name":"Levoxyl 150 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966201","drug_name":"Synthroid 150 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966202","drug_name":"Euthyrox 175 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966204","drug_name":"Levoxyl 175 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966205","drug_name":"Synthroid 175 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966207","drug_name":"Euthyrox 200 MCG TAB [Euthyrox]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966211","drug_name":"Levoxyl 200 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966218","drug_name":"Synthroid 300 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966220","drug_name":"Levothyroxine Sodium 25 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966221","drug_name":"Levothyroxine Sodium 50 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966222","drug_name":"Levothyroxine Sodium 75 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966224","drug_name":"Levothyroxine Sodium 125 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966225","drug_name":"Levothyroxine Sodium 150 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966228","drug_name":"Unithroid 25 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966232","drug_name":"Unithroid 88 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966233","drug_name":"Unithroid 100 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966235","drug_name":"Unithroid 112 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966237","drug_name":"Unithroid 125 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966238","drug_name":"Unithroid 150 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966241","drug_name":"Unithroid 200 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966243","drug_name":"Unithroid 300 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966244","drug_name":"Unithroid 50 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966246","drug_name":"Unithroid 175 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966247","drug_name":"Synthroid 50 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966248","drug_name":"Levothyroxine Sodium 112 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966249","drug_name":"Levothyroxine Sodium 175 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966250","drug_name":"Synthroid 100 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966251","drug_name":"Synthroid 200 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966253","drug_name":"Levothyroxine Sodium 88 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966270","drug_name":"Levothyroxine Sodium 137 MCG TAB [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966271","drug_name":"Synthroid 137 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966282","drug_name":"Synthroid 88 MCG TAB [Synthroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966283","drug_name":"Levoxyl 100 MCG TAB [Levoxyl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966286","drug_name":"Unithroid 75 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966404","drug_name":"Levothyroxine Sodium 100 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966405","drug_name":"Levothyroxine Sodium 125 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966406","drug_name":"Levothyroxine Sodium 25 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966407","drug_name":"Levothyroxine Sodium 50 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966412","drug_name":"Levothyroxine Sodium 13 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966413","drug_name":"Levothyroxine Sodium 150 MCG CAP [Levothyroxine Sodium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966415","drug_name":"Tirosint 100 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966417","drug_name":"Tirosint 125 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966420","drug_name":"Tirosint 150 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966423","drug_name":"Tirosint 25 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966426","drug_name":"Tirosint 50 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966434","drug_name":"Tirosint 13 MCG CAP [Tirosint]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966436","drug_name":"Unithroid 137 MCG TAB [Unithroid]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"966920","drug_name":"PEG-3350/Electrolytes 236 GM RECON SOLN [PEG-3350/Electrolytes]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"967012","drug_name":"GaviLyte-G 236 GM RECON SOLN [GaviLyte-G]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"967023","drug_name":"GaviLyte-C 240 GM RECON SOLN [GaviLyte-C]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977427","drug_name":"Everolimus 0.25 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977431","drug_name":"Zortress 0.25 MG TAB [Zortress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977434","drug_name":"Everolimus 0.5 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977436","drug_name":"Zortress 0.5 MG TAB [Zortress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977438","drug_name":"Everolimus 0.75 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977440","drug_name":"Zortress 0.75 MG TAB [Zortress]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977836","drug_name":"Heather 0.35 MG TAB [Heather]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977840","drug_name":"NovoLOG 70/30 FlexPen ReliOn (70-30) 100 UNIT/ML SUSP PEN [NovoLOG 70/30 FlexPen ReliOn]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977842","drug_name":"NovoLOG Mix 70/30 (70-30) 100 UNIT/ML SUSPENSION [NovoLOG Mix 70/30]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"PREFERRED-BRAND","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977874","drug_name":"oxyMORphone HCl ER 10 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977880","drug_name":"aMILoride HCl 5 MG TAB [aMILoride HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977883","drug_name":"AMILoride-HydroCHLOROthiazide 5-50 MG TAB [AMILoride-HydroCHLOROthiazide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"977894","drug_name":"oxyMORphone HCl ER 15 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977902","drug_name":"oxyMORphone HCl ER 20 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977909","drug_name":"oxyMORphone HCl ER 30 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977915","drug_name":"oxyMORphone HCl ER 40 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977923","drug_name":"oxyMORphone HCl ER 5 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977929","drug_name":"oxyMORphone HCl ER 7.5 MG TAB ER 12H [oxyMORphone HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977939","drug_name":"oxyMORphone HCl 5 MG TAB [oxyMORphone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977942","drug_name":"oxyMORphone HCl 10 MG TAB [oxyMORphone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"977990","drug_name":"Halobetasol Propionate 0.05 % CREAM [Halobetasol Propionate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"978573","drug_name":"Carteolol HCl 1 % SOLUTION [Carteolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979092","drug_name":"Hydroxychloroquine Sulfate 200 MG TAB [Hydroxychloroquine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979099","drug_name":"GaviLyte-N with Flavor Pack 420 GM RECON SOLN [GaviLyte-N with Flavor Pack]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979115","drug_name":"Relistor 12 MG/0.6ML SOLUTION [Relistor]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979464","drug_name":"Losartan Potassium-HCTZ 100-12.5 MG TAB [Losartan Potassium-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979468","drug_name":"Losartan Potassium-HCTZ 50-12.5 MG TAB [Losartan Potassium-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979471","drug_name":"Losartan Potassium-HCTZ 100-25 MG TAB [Losartan Potassium-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979480","drug_name":"Losartan Potassium 100 MG TAB [Losartan Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979485","drug_name":"Losartan Potassium 25 MG TAB [Losartan Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"979492","drug_name":"Losartan Potassium 50 MG TAB [Losartan Potassium]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"984105","drug_name":"Sodium Phenylbutyrate 3 GM/TSP POWDER [Sodium Phenylbutyrate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991039","drug_name":"chlorproMAZINE HCl 10 MG TAB [chlorproMAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991044","drug_name":"chlorproMAZINE HCl 100 MG TAB [chlorproMAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991061","drug_name":"Dicyclomine HCl 10 MG CAP [Dicyclomine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991082","drug_name":"Dicyclomine HCl 10 MG/5ML SOLUTION [Dicyclomine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991086","drug_name":"Dicyclomine HCl 20 MG TAB [Dicyclomine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991147","drug_name":"Methadone HCl 10 MG/ML CONC [Methadone HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"991188","drug_name":"chlorproMAZINE HCl 200 MG TAB [chlorproMAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991194","drug_name":"chlorproMAZINE HCl 25 MG TAB [chlorproMAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991233","drug_name":"Targretin 1 % GEL [Targretin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"991336","drug_name":"chlorproMAZINE HCl 50 MG TAB [chlorproMAZINE HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992150","drug_name":"Methenamine Hippurate 1 GM TAB [Methenamine Hippurate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992395","drug_name":"Gatifloxacin 0.5 % SOLUTION [Gatifloxacin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992403","drug_name":"Nutropin AQ NuSpin 5 5 MG/2ML SOLN PEN [Nutropin AQ NuSpin 5]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992432","drug_name":"Promethazine HCl 12.5 MG/10ML SOLUTION [Promethazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992438","drug_name":"Promethazine HCl 12.5 MG TAB [Promethazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992441","drug_name":"Promethazine HCl 12.5 MG SUPPOS [Promethazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992445","drug_name":"Promethegan 12.5 MG SUPPOS [Promethegan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992447","drug_name":"Promethazine HCl 25 MG TAB [Promethazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992454","drug_name":"Promethazine HCl 25 MG SUPPOS [Promethazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992459","drug_name":"Promethegan 25 MG SUPPOS [Promethegan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992475","drug_name":"Promethazine HCl 50 MG TAB [Promethazine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"992481","drug_name":"Promethegan 50 MG SUPPOS [Promethegan]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993456","drug_name":"Prolia 60 MG/ML SOLN PRSYR [Prolia]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993462","drug_name":"Midodrine HCl 10 MG TAB [Midodrine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993466","drug_name":"Midodrine HCl 2.5 MG TAB [Midodrine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993470","drug_name":"Midodrine HCl 5 MG TAB [Midodrine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993503","drug_name":"buPROPion HCl ER (SR) 100 MG TAB ER 12H [buPROPion HCl ER (SR)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993518","drug_name":"buPROPion HCl ER (SR) 150 MG TAB ER 12H [buPROPion HCl ER (SR)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993536","drug_name":"buPROPion HCl ER (SR) 200 MG TAB ER 12H [buPROPion HCl ER (SR)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993541","drug_name":"buPROPion HCl ER (XL) 150 MG TAB ER 24H [buPROPion HCl ER (XL)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993557","drug_name":"buPROPion HCl ER (XL) 300 MG TAB ER 24H [buPROPion HCl ER (XL)]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993687","drug_name":"buPROPion HCl 100 MG TAB [buPROPion HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993691","drug_name":"buPROPion HCl 75 MG TAB [buPROPion HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993755","drug_name":"Acetaminophen-Codeine 120-12 MG/5ML SOLUTION [Acetaminophen-Codeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"993770","drug_name":"Acetaminophen-Codeine 300-15 MG TAB [Acetaminophen-Codeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"993781","drug_name":"Acetaminophen-Codeine 300-30 MG TAB [Acetaminophen-Codeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"993856","drug_name":"Lacosamide 100 MG/10ML SOLUTION [Lacosamide]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"993890","drug_name":"Acetaminophen-Codeine 300-60 MG TAB [Acetaminophen-Codeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"993943","drug_name":"Butalbital-APAP-Caff-Cod 50-325-40-30 MG CAP [Butalbital-APAP-Caff-Cod]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"994521","drug_name":"Orphenadrine Citrate ER 100 MG TAB ER 12H [Orphenadrine Citrate ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"994528","drug_name":"Orphenadrine-Aspirin-Caffeine 25-385-30 MG TAB [Orphenadrine-Aspirin-Caffeine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995019","drug_name":"Nitrolingual 0.4 MG/SPRAY SOLUTION [Nitrolingual]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995218","drug_name":"hydrOXYzine HCl 10 MG TAB [hydrOXYzine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995232","drug_name":"HydrOXYzine Pamoate 100 MG CAP [HydrOXYzine Pamoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995241","drug_name":"hydrOXYzine HCl 10 MG/5ML SYRUP [hydrOXYzine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995253","drug_name":"hydrOXYzine Pamoate 25 MG CAP [hydrOXYzine Pamoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995258","drug_name":"hydrOXYzine HCl 25 MG TAB [hydrOXYzine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995278","drug_name":"hydrOXYzine Pamoate 50 MG CAP [hydrOXYzine Pamoate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995281","drug_name":"hydrOXYzine HCl 50 MG TAB [hydrOXYzine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995599","drug_name":"Ethambutol HCl 100 MG TAB [Ethambutol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995607","drug_name":"Ethambutol HCl 400 MG TAB [Ethambutol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"995868","drug_name":"G Tussin AC 100-10 MG/5ML SOLUTION [G Tussin AC]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"996097","drug_name":"Dutasteride-Tamsulosin HCl 0.5-0.4 MG CAP [Dutasteride-Tamsulosin HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996559","drug_name":"Genotropin 12 MG CARTRIDGE [Genotropin]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"SPECIALTY","prior_authorization":true,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996561","drug_name":"Memantine HCl 10 MG TAB [Memantine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996571","drug_name":"Memantine HCl 5 MG TAB [Memantine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996572","drug_name":"Memantine HCl 28 x 5 MG & 21 x 10 MG TAB [Memantine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996594","drug_name":"Memantine HCl ER 14 MG CAP ER 24H [Memantine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996603","drug_name":"Memantine HCl ER 21 MG CAP ER 24H [Memantine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996609","drug_name":"Memantine HCl ER 28 MG CAP ER 24H [Memantine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996615","drug_name":"Memantine HCl ER 7 MG CAP ER 24H [Memantine HCl ER]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996740","drug_name":"Memantine HCl 10 MG/5ML SOLUTION [Memantine HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"996921","drug_name":"cloZAPine 200 MG TAB DISP [cloZAPine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"997010","drug_name":"QuiNINE Sulfate 324 MG CAP [QuiNINE Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"997170","drug_name":"Codeine Sulfate 15 MG TAB [Codeine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"997220","drug_name":"Donepezil HCl 10 MG TAB DISP [Donepezil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"997223","drug_name":"Donepezil HCl 10 MG TAB [Donepezil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"997226","drug_name":"Donepezil HCl 5 MG TAB DISP [Donepezil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"997229","drug_name":"Donepezil HCl 5 MG TAB [Donepezil HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"997287","drug_name":"Codeine Sulfate 30 MG TAB [Codeine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"997296","drug_name":"Codeine Sulfate 60 MG TAB [Codeine Sulfate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":true,"years":[2026]}]},{"rxnorm_id":"998189","drug_name":"Everolimus 2.5 MG TAB [Everolimus]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":true,"step_therapy":true,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"998550","drug_name":"Oravig 50 MG TAB [Oravig]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-BRAND","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"998671","drug_name":"cloNIDine 0.1 MG/24HR PATCH WK [cloNIDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"998675","drug_name":"cloNIDine 0.2 MG/24HR PATCH WK [cloNIDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"998679","drug_name":"cloNIDine 0.3 MG/24HR PATCH WK [cloNIDine]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"998685","drug_name":"Acebutolol HCl 400 MG CAP [Acebutolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"998689","drug_name":"Acebutolol HCl 200 MG CAP [Acebutolol HCl]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"999961","drug_name":"Glycopyrrolate 1 MG/5ML SOLUTION [Glycopyrrolate]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"999967","drug_name":"Olmesartan-Amlodipine-HCTZ 20-5-12.5 MG TAB [Olmesartan-Amlodipine-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"999986","drug_name":"Olmesartan-Amlodipine-HCTZ 40-10-12.5 MG TAB [Olmesartan-Amlodipine-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"999991","drug_name":"Olmesartan-Amlodipine-HCTZ 40-10-25 MG TAB [Olmesartan-Amlodipine-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]},{"rxnorm_id":"999996","drug_name":"Olmesartan-Amlodipine-HCTZ 40-5-12.5 MG TAB [Olmesartan-Amlodipine-HCTZ]","plans":[{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180006","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180005","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180003","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180007","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170002","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170001","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0170004","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]},{"plan_id_type":"HIOS-PLAN-ID","plan_id":"92170ID0180008","drug_tier":"NON-PREFERRED-GENERIC","prior_authorization":false,"step_therapy":false,"quantity_limit":false,"years":[2026]}]}]